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General NPI Number Information
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NPI Number | 1891260386
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Entity Type | Individual
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Provider Name | CAITLIN KITTS
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Gender | Female
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Dates
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Enumeration Date | 10/10/2018
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Last Update Date | 10/10/2018
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Provider Practice Location Address
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Address Line | 26455 S TAMIAMI TRL
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City | BONITA SPRINGS
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State | FL
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Zip | 34134-7815
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Country | US
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Telephone | 239-810-4035
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Fax |
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Provider Business Mailing Address
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Address Line | 1801 BRANTLEY RD APT 208
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City | FORT MYERS
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State | FL
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Zip | 33907-3947
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Country | US
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Telephone | 239-810-4035
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | PTA28336
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License Number State | FL
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