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General NPI Number Information
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NPI Number | 1114289899
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Entity Type | Individual
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Provider Name | CALIXTO CAZANO M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/08/2012
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Last Update Date | 12/08/2023
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Provider Practice Location Address
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Address Line | 1 MEDICAL DR
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City | PARAGOULD
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State | AR
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Zip | 72450-4017
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Country | US
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Telephone | 870-236-2000
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Fax | 870-236-5861
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Provider Business Mailing Address
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Address Line | PO BOX 83
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City | CORNING
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State | AR
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Zip | 72422-0083
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Country | US
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Telephone | 870-857-3399
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Fax | 870-857-3301
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | E-7561
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License Number State | AR
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