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General NPI Number Information
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NPI Number | 1023070240
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Entity Type | Individual
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Provider Name | MAE HELEN CALEB M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/04/2006
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Last Update Date | 01/24/2011
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Provider Practice Location Address
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Address Line | 5800 RIDGE AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19128
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Country | US
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Telephone | 215-487-4334
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Fax | 610-891-3680
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Provider Business Mailing Address
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Address Line | P.O. BOX 5020
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City | TOMS RIVER
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State | NJ
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Zip | 08754-5020
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Country | US
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Telephone | 800-528-0006
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Fax | 732-349-6030
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD036970L
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License Number State | PA
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