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General NPI Number Information
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NPI Number | 1841139136
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Entity Type | Individual
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Provider Name | CAITLIN MALON
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Gender | Female
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Dates
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Enumeration Date | 03/25/2026
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Last Update Date | 03/25/2026
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Provider Practice Location Address
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Address Line | 15830 BALLANTYNE MEDICAL PL STE 175
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City | CHARLOTTE
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State | NC
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Zip | 28277-0763
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Country | US
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Telephone | 704-323-7633
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Fax | 704-709-5384
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Provider Business Mailing Address
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Address Line | 1518 E 3RD ST STE 250
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City | CHARLOTTE
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State | NC
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Zip | 28204-3192
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Country | US
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Telephone | 704-248-3400
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Fax | 704-337-8387
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 001016401
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License Number State | NC
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