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General NPI Number Information
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NPI Number | 1912374729
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Entity Type | Individual
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Provider Name | CAITLIN WINIFRED GAHART DPT, PT
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Gender | Female
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Dates
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Enumeration Date | 08/27/2015
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Last Update Date | 03/14/2025
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Provider Practice Location Address
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Address Line | 37 SHERWOOD TERRACE SUITE 103
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City | LAKE BLUFF
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State | IL
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Zip | 60044
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Country | US
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Telephone | 847-235-2392
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Fax | 847-235-2061
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Provider Business Mailing Address
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Address Line | 229 EAST PARK AVE APT 2E
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City | LIBERTYVILLE
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State | IL
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Zip | 60048
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Country | US
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Telephone | 847-767-1484
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Fax | 847-929-1154
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 070021747
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License Number State | IL
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