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NPI Code Detail

MEDICARE: DENISE CALHOUN

MEDICARE:   DENISE  CALHOUN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1175T00000XPeer Specialist

General Provider Information

NPI Number : 1649801671
Entity Type Code : Individual
Provider Name (Legal Business Name) : DENISE CALHOUN
Provider Business Mailing Address
First Line : 1400 E 55TH ST
Second Line :
City : CLEVELAND
State : OH
Zip : 44103-1304
Country : US
Telephone Number : 216-391-6672
Fax Number :
Provider Business Practice Location Address
First Line : 5225 SUPERIOR AVE APT 403
Second Line :
City : CLEVELAND
State : OH
Zip : 44103-1361
Country : US
Telephone Number : 216-254-5620
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2020
Last Update Date : 01/29/2020

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Directions to “ DENISE CALHOUN ” Practice Location

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