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General NPI Number Information
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NPI Number | 1669169595
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Entity Type | Individual
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Provider Name | CAITLYN ELIZABETH REED LAT, ATC
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Gender | Female
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Dates
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Enumeration Date | 04/20/2023
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Last Update Date | 04/20/2023
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Provider Practice Location Address
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Address Line | 75 CHAMP BLVD
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City | MANHEIM
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State | PA
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Zip | 17545
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Country | US
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Telephone | 717-945-7087
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Fax |
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Provider Business Mailing Address
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Address Line | 526 COLONIAL CRESCENT DR
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City | LITITZ
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State | PA
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Zip | 17543-8834
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Country | US
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Telephone | 717-725-6885
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State |
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