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General NPI Number Information
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NPI Number | 1003249301
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Entity Type | Individual
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Provider Name | CALVIN C. KROM III D.O.
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Gender | Male
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Dates
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Enumeration Date | 08/10/2013
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Last Update Date | 02/26/2025
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Provider Practice Location Address
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Address Line | 601 LINTON BLVD
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City | DELRAY BEACH
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State | FL
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Zip | 33444-8149
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Country | US
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Telephone | 561-276-2270
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Fax |
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Provider Business Mailing Address
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Address Line | 601 LINTON BLVD
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City | DELRAY BEACH
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State | FL
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Zip | 33444-8149
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Country | US
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Telephone | 561-276-2270
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 293148
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207PH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Emergency Medicine) Physician
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License Number | 293148
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207PH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Emergency Medicine) Physician
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License Number | OS15744
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 293148
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | OS15744
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License Number State | FL
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