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General NPI Number Information
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NPI Number | 1992155980
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Entity Type | Individual
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Provider Name | CAITLIN MARIE BLAU DO
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Gender | Female
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Dates
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Enumeration Date | 06/21/2016
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 1530 ELLIS ST
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City | BELLINGHAM
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State | WA
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Zip | 98225-4905
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Country | US
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Telephone | 360-734-9095
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Fax | 360-715-8416
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Provider Business Mailing Address
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Address Line | 1050 LARRABEE AVE STE 104 PMB 480
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City | BELLINGHAM
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State | WA
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Zip | 98225
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Country | US
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Telephone | 360-309-0922
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Fax | 360-644-5091
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 70021200
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License Number State | WA
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