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General NPI Number Information
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NPI Number | 1952044265
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Entity Type | Individual
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Provider Name | CAITLIN MARIA DEPAULO
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Gender | Female
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Dates
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Enumeration Date | 04/14/2022
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Last Update Date | 01/05/2024
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Provider Practice Location Address
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Address Line | 354 SOUTH AVE E
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City | WESTFIELD
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State | NJ
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Zip | 07090-1788
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Country | US
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Telephone | 908-233-8065
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Fax |
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Provider Business Mailing Address
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Address Line | 24 HAMPTON CT
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City | MATAWAN
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State | NJ
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Zip | 07747-6845
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Country | US
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Telephone | 646-385-5863
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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 | 26NJ01295100
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License Number State | NJ
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