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General NPI Number Information
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NPI Number | 1750858726
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Entity Type | Individual
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Provider Name | CAITLIN NICOLE GALE
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Gender | Female
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Dates
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Enumeration Date | 10/29/2018
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Last Update Date | 05/24/2025
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Provider Practice Location Address
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Address Line | 613 23RD ST STE G30
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City | ASHLAND
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State | KY
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Zip | 41101-2881
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Country | US
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Telephone | 606-327-0036
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Fax |
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Provider Business Mailing Address
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Address Line | 124 11TH AVE W
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City | HUNTINGTON
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State | WV
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Zip | 25701-3121
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Country | US
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Telephone | 304-638-2023
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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 | 1747
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License Number State | KY
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