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General NPI Number Information
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NPI Number | 1114278082
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Entity Type | Individual
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Provider Name | JUSTEN E.T. CALECA PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 10/02/2012
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Last Update Date | 10/02/2012
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Provider Practice Location Address
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Address Line | 1262 HILLCREST DR
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City | SAN JOSE
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State | CA
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Zip | 95120-4036
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Country | US
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Telephone | 408-836-6312
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Fax | 408-927-9308
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Provider Business Mailing Address
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Address Line | 1262 HILLCREST DR
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City | SAN JOSE
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State | CA
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Zip | 95120-4036
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Country | US
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Telephone | 408-836-6312
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Fax | 408-927-9308
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 51718
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License Number State | CA
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