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NPI 1144290115

NPI 1144290115 : DAVID CALDERONE DPM : LANCASTER, PA

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General NPI Number Information
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    NPI Number           |    1144290115
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    Entity Type          |    Individual 
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    Provider Name        |    DAVID CALDERONE DPM
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    01/24/2006
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    Last Update Date     |    09/12/2019
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Provider Practice Location Address
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    Address Line         |    170 N POINTE BLVD 
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    City                 |    LANCASTER
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    State                |    PA
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    Zip                  |    17601-4132
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    Country              |    US
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    Telephone            |    717-299-4871
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    Fax                  |    717-391-2494
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Provider Business Mailing Address
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    Address Line         |    170 N POINTE BLVD 
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    City                 |    LANCASTER
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    State                |    PA
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    Zip                  |    17601-4132
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    Country              |    US
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    Telephone            |    717-299-4871
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    Fax                  |    717-391-2494
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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        |    213ES0103X
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    Taxonomy Name        |    Foot & Ankle Surgery Podiatrist
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    License Number       |    5901001665
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    License Number State |    MI
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Taxonomy #2
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    Taxonomy Code        |    213ES0103X
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    Taxonomy Name        |    Foot & Ankle Surgery Podiatrist
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    License Number       |    SC003735R
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    License Number State |    PA
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