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General NPI Number Information
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NPI Number | 1003018250
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Entity Type | Individual
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Provider Name | DOMENICO CALCATERRA MD
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Gender | Male
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Dates
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Enumeration Date | 06/01/2007
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Last Update Date | 10/26/2021
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Provider Practice Location Address
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Address Line | 1801 N SENATE BLVD STE 3300
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City | INDIANAPOLIS
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State | IN
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Zip | 46202-1228
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Country | US
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Telephone | 317-923-1787
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Fax | 317-962-6259
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Provider Business Mailing Address
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Address Line | 5304 4TH AVENUE CIR E
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City | BRADENTON
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State | FL
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Zip | 34208-5624
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Country | US
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Telephone | 941-744-2640
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Fax | 941-744-2650
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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 | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | ME97069
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | 38062
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License Number State | IA
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Taxonomy #3
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | 01071025A
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License Number State | IN
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