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General NPI Number Information
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NPI Number | 1053358606
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Entity Type | Individual
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Provider Name | JAVIER CALDERA-NIEVES MD
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Gender | Male
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Dates
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Enumeration Date | 06/01/2006
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Last Update Date | 10/02/2007
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Provider Practice Location Address
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Address Line | 3500 GASTON AVE
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City | DALLAS
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State | TX
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Zip | 75246-2096
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Country | US
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Telephone | 214-820-2505
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Fax |
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Provider Business Mailing Address
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Address Line | 1143 HIDDEN RDG #1150
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City | IRVING
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State | TX
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Zip | 75038-3714
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Country | US
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Telephone | 214-441-1632
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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 | L8634
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License Number State | TX
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