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General NPI Number Information
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NPI Number | 1649623281
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Entity Type | Individual
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Provider Name | CAITLIN REID D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 07/19/2016
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Last Update Date | 01/24/2020
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Provider Practice Location Address
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Address Line | 1200 OLD YORK RD
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City | ABINGTON
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State | PA
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Zip | 19001-3720
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Country | US
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Telephone | 215-481-2193
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Fax |
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Provider Business Mailing Address
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Address Line | 805 N PALM ST
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City | LITTLE ROCK
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State | AR
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Zip | 72205-1946
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Country | US
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Telephone | 501-664-1230
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DS040993
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 4145
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License Number State | AR
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