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General NPI Number Information
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NPI Number | 1881248664
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Entity Type | Individual
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Provider Name | CAITLIN RIDEN FNP-C
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Gender | Female
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Dates
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Enumeration Date | 07/30/2019
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Last Update Date | 11/21/2025
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Provider Practice Location Address
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Address Line | 613 CAMPUS DR STE 200
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City | ABINGDON
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State | VA
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Zip | 24210-9703
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Country | US
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Telephone | 276-628-1186
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Fax |
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Provider Business Mailing Address
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Address Line | 1021 W OAKLAND AVE STE 310
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City | JOHNSON CITY
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State | TN
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Zip | 37604-2192
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Country | US
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Telephone | 423-952-2111
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 25587
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0024184054
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 0024184054
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 25887
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License Number State | TN
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