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General NPI Number Information
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NPI Number | 1821483470
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Entity Type | Individual
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Provider Name | CAITLIN SHERMAN GOLLA M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/31/2015
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Last Update Date | 06/10/2025
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Provider Practice Location Address
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Address Line | 6200 WILSHIRE BLVD STE 1010
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City | LOS ANGELES
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State | CA
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Zip | 90048-5811
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Country | US
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Telephone | 253-240-0530
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Fax | 480-546-3134
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Provider Business Mailing Address
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Address Line | 21 SHERWOOD DR
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City | LINCOLNSHIRE
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State | IL
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Zip | 60069-3220
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Country | US
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Telephone | 847-370-5816
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 2023-02147
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A146348
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License Number State | CA
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