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General NPI Number Information
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NPI Number | 1750241907
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Entity Type | Organization
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Legal Business Name | CAITLIN ABDULLA LLC
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Dates
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Enumeration Date | 11/12/2025
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Last Update Date | 11/12/2025
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Provider Practice Location Address
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Address Line | 4220 LAKE AVE
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City | BUFFALO
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State | NY
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Zip | 14219-1217
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Country | US
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Telephone | 716-222-2028
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Fax | 716-259-8058
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Provider Business Mailing Address
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Address Line | 254 INGHAM AVE
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City | LACKAWANNA
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State | NY
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Zip | 14218-2542
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Country | US
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Telephone | 716-222-2028
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CAITLIN BROOKS
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Credential |
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Telephone | 716-861-2745
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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