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General NPI Number Information
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NPI Number | 1033656624
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Entity Type | Individual
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Provider Name | LAURA CALDERON-COLON FNP
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Gender | Female
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Dates
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Enumeration Date | 01/20/2017
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Last Update Date | 05/28/2026
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Provider Practice Location Address
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Address Line | 1024 WESTCHESTER AVE
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City | BRONX
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State | NY
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Zip | 10459-2415
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Country | US
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Telephone | 718-765-6340
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Fax | 347-448-5436
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Provider Business Mailing Address
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Address Line | PO BOX 746087
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City | ATLANTA
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State | GA
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Zip | 30374-6087
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Country | US
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Telephone | 312-733-9730
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 343208
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 650718
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License Number State | NY
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