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General NPI Number Information
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NPI Number | 1942145552
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Entity Type | Individual
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Provider Name | CAITLIN WILSON
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Gender | Female
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Dates
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Enumeration Date | 04/21/2026
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Last Update Date | 04/21/2026
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Provider Practice Location Address
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Address Line | 2222 MEDIAL DISTRICT DRIVE SUITE 210
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City | DALLAS
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State | TX
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Zip | 75235
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Country | US
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Telephone | 214-867-6900
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Fax |
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Provider Business Mailing Address
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Address Line | 2014 ROCHELLE LN
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City | CARROLLTON
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State | TX
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Zip | 75007-2209
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Country | US
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Telephone | 214-867-7067
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 112523
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License Number State | TX
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