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General NPI Number Information
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NPI Number | 1811883218
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Entity Type | Individual
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Provider Name | MRS. KAITLYN CHRISTINE-POWERS CUADERNO
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Gender | Female
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Dates
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Enumeration Date | 06/13/2025
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Last Update Date | 06/13/2025
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Provider Practice Location Address
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Address Line | 167 S SAN ANTONIO RD STE 2
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City | LOS ALTOS
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State | CA
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Zip | 94022-3055
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Country | US
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Telephone | 650-946-1200
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Fax |
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Provider Business Mailing Address
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Address Line | 840 SILACCI DR
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City | CAMPBELL
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State | CA
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Zip | 95008-5125
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Country | US
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Telephone | 831-682-7865
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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 | PENDING
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License Number State | CA
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