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General NPI Number Information
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NPI Number | 1093700882
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Entity Type | Organization
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Legal Business Name | L.M.CALDWELL PHARMACIST
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Dates
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Enumeration Date | 09/17/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1509 STATE ST
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City | SANTA BARBARA
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State | CA
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Zip | 93101-2513
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Country | US
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Telephone | 805-965-4528
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Fax | 805-966-1844
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Provider Business Mailing Address
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Address Line | 1509 STATE ST
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City | SANTA BARBARA
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State | CA
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Zip | 93101-2513
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Country | US
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Telephone | 805-965-4528
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Fax | 805-966-1844
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Authorized Official
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Title or Position | OWNER
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Name | MR. PETER CRAIG CALDWELL
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Credential | PD
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Telephone | 805-965-4528
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | PHY30911
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License Number State | CA
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