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General NPI Number Information
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NPI Number | 1700544632
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Entity Type | Individual
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Provider Name | CAITLIN NICOLE LORDO PA-C
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Gender | Female
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Dates
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Enumeration Date | 12/08/2021
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Last Update Date | 03/01/2023
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Provider Practice Location Address
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Address Line | 100 FAIRFIELD DR
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City | SENECA
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State | PA
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Zip | 16346-2130
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Country | US
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Telephone | 146-767-6008
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Fax |
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Provider Business Mailing Address
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Address Line | 107 ASHMONT DR
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City | BUTLER
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State | PA
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Zip | 16002-8923
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Country | US
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Telephone | 724-831-9412
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | MA0626656
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License Number State | PA
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