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General NPI Number Information
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NPI Number | 1114981164
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Entity Type | Individual
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Provider Name | JORGE ERNESTO CALDERON M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/14/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 4000 ANNAPOLIS RD SUITE 201
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City | BALTIMORE
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State | MD
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Zip | 21227-3600
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Country | US
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Telephone | 410-636-2222
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Fax | 410-789-4688
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Provider Business Mailing Address
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Address Line | 750 FAWNELM RD
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City | SEVERN
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State | MD
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Zip | 21144-2084
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Country | US
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Telephone | 410-969-0450
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Fax | 410-789-4688
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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 | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number | D26656
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | D26656
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License Number State | MD
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