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General NPI Number Information
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NPI Number | 1639948615
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Entity Type | Individual
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Provider Name | CAITLYN M STILL ACSW
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Gender | Female
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Dates
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Enumeration Date | 01/01/2024
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Last Update Date | 01/01/2024
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Provider Practice Location Address
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Address Line | 1441 CONSTITUTION BLVD
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City | SALINAS
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State | CA
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Zip | 93906-3100
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Country | US
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Telephone | 831-747-9365
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Fax |
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Provider Business Mailing Address
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Address Line | 3106 LAKE DR APT 21
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City | MARINA
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State | CA
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Zip | 93933-2851
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Country | US
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Telephone | 707-834-9717
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 102771
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License Number State | CA
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