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General NPI Number Information
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NPI Number | 1033879630
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Entity Type | Individual
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Provider Name | ANDREW ANTHONY CALDERONE DC
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Gender | Male
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Dates
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Enumeration Date | 12/22/2021
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Last Update Date | 12/22/2021
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Provider Practice Location Address
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Address Line | 1807 S KANNER HWY
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City | STUART
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State | FL
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Zip | 34994-7204
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Country | US
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Telephone | 772-286-6260
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Fax |
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Provider Business Mailing Address
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Address Line | 1527 S FLAGLER DR APT 211F
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City | WEST PALM BEACH
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State | FL
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Zip | 33401-7144
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Country | US
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Telephone | 772-486-4007
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 13844
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License Number State | FL
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