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General NPI Number Information
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NPI Number | 1093819096
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Entity Type | Individual
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Provider Name | YONEIDA CALOGERO DMD
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Gender | Female
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Dates
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Enumeration Date | 09/11/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 80 N WOODLAWN
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City | ALICE
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State | TX
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Zip | 78332
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Country | US
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Telephone | 361-396-1922
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Fax | 361-396-0895
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Provider Business Mailing Address
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Address Line | PO BOX 1426
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City | ALICE
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State | TX
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Zip | 78333
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Country | US
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Telephone | 361-396-1922
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Fax | 361-396-0895
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 21464
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License Number State | TX
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