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NPI 1780541847

NPI 1780541847 : CAROLINE BENTLEY CAICEDO BS : MURRIETA, CA

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General NPI Number Information
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    NPI Number           |    1780541847
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    Entity Type          |    Individual 
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    Provider Name        |    CAROLINE BENTLEY CAICEDO BS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/08/2026
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    Last Update Date     |    01/08/2026
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Provider Practice Location Address
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    Address Line         |    41185 GOLDEN GATE CIR STE 108 
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    City                 |    MURRIETA
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    State                |    CA
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    Zip                  |    92562-6995
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    Country              |    US
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    Telephone            |    951-579-8525
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4805 MARBLEHEAD BAY DR 
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    City                 |    OCEANSIDE
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    State                |    CA
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    Zip                  |    92057-3411
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    Country              |    US
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    Telephone            |    909-536-7011
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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        |    2355S0801X
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    Taxonomy Name        |    Speech-Language Assistant
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    License Number       |    7694
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    License Number State |    CA
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