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General NPI Number Information
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NPI Number | 1629935036
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Entity Type | Individual
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Provider Name | CAITLIN CREEGAN PA-C
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Gender | Female
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Dates
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Enumeration Date | 01/07/2026
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 331 NEWMAN SPRINGS RD
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City | RED BANK
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State | NJ
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Zip | 07701-5688
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Country | US
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Telephone | 732-641-1857
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Fax |
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Provider Business Mailing Address
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Address Line | 817 SALEM RD
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City | UNION
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State | NJ
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Zip | 07083-7570
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Country | US
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Telephone | 908-499-9643
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number |
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License Number State |
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