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General NPI Number Information
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NPI Number | 1851063564
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Entity Type | Individual
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Provider Name | CAITLIN KEMPER DMD
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Gender | Female
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Dates
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Enumeration Date | 09/30/2021
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Last Update Date | 01/09/2025
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Provider Practice Location Address
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Address Line | 1836 NW MARKET ST
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City | SEATTLE
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State | WA
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Zip | 98107-3908
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Country | US
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Telephone | 206-260-1217
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Fax |
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Provider Business Mailing Address
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Address Line | 6303B 22ND AVE NW
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City | SEATTLE
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State | WA
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Zip | 98107-2417
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Country | US
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Telephone | 775-997-8824
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DDS106727
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DDS106727
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 61562941
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License Number State | WA
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