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General NPI Number Information
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NPI Number | 1073491494
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Entity Type | Individual
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Provider Name | CALLIE CARABALLO RDMS
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Gender | Female
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Dates
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Enumeration Date | 08/25/2025
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 252 S ELM ST STE A
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City | KELLER
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State | TX
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Zip | 76248-2258
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Country | US
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Telephone | 817-381-2002
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Fax | 817-971-0070
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Provider Business Mailing Address
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Address Line | 2701 LOS ALAMOS TRL
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City | FORT WORTH
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State | TX
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Zip | 76131-2837
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Country | US
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Telephone | 432-288-4567
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Fax | 817-971-0070
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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 | 2085U0001X
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Taxonomy Name | Diagnostic Ultrasound Physician
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License Number | 137076
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License Number State | FL
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