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General NPI Number Information
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NPI Number | 1972396919
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Entity Type | Individual
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Provider Name | CAITLIN TELFORD
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Gender | Female
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Dates
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Enumeration Date | 05/23/2025
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 1200 PECAN ST SE
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City | WASHINGTON
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State | DC
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Zip | 20032-2652
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Country | US
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Telephone | 771-444-6200
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Fax |
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Provider Business Mailing Address
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Address Line | 3811 FAIRFAX DR STE 1000
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City | ARLINGTON
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State | VA
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Zip | 22203-1782
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Country | US
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Telephone | 202-741-3570
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | PA200002289
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License Number State | DC
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