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General NPI Number Information
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NPI Number | 1831899475
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Entity Type | Individual
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Provider Name | CAITLIN MEYER
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Gender | Female
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Dates
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Enumeration Date | 03/02/2023
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Last Update Date | 07/22/2025
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Provider Practice Location Address
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Address Line | 1651 W CENTRE AVE
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City | PORTAGE
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State | MI
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Zip | 49024-6312
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Country | US
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Telephone | 269-788-3200
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Fax |
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Provider Business Mailing Address
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Address Line | 5404 E H AVE
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City | KALAMAZOO
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State | MI
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Zip | 49048-1136
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Country | US
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Telephone | 517-243-7380
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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 | 6801119242
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License Number State | MI
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