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General NPI Number Information
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NPI Number | 1083690713
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Entity Type | Individual
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Provider Name | MATTHEW CALESTINO M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/15/2005
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Last Update Date | 01/08/2024
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Provider Practice Location Address
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Address Line | 985 STATE ROAD 436
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City | CASSELBERRY
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State | FL
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Zip | 32707-5664
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Country | US
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Telephone | 407-831-5252
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Fax | 407-831-3765
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Provider Business Mailing Address
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Address Line | 985 STATE ROAD 436
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City | CASSELBERRY
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State | FL
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Zip | 32707-5664
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Country | US
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Telephone | 407-831-5252
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Fax | 407-831-3765
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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 | 4301078873
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 4301078873
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME118584
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License Number State | FL
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