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General NPI Number Information
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NPI Number | 1710874821
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Entity Type | Individual
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Provider Name | CAITHLYN T SNOW ASWC
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Gender | Female
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Dates
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Enumeration Date | 06/20/2025
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Last Update Date | 06/20/2025
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Provider Practice Location Address
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Address Line | 1330 ORANGE AVE STE 308
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City | CORONADO
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State | CA
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Zip | 92118-3924
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Country | US
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Telephone | 619-837-2072
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Fax |
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Provider Business Mailing Address
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Address Line | 1936 THIBODO RD APT 208
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City | VISTA
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State | CA
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Zip | 92081-7945
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Country | US
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Telephone | 760-917-8007
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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 | 125819
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License Number State | CA
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