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General NPI Number Information
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NPI Number | 1144922006
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Entity Type | Individual
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Provider Name | MARIA CHRISTINA CALDERON PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 03/21/2023
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Last Update Date | 04/12/2023
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Provider Practice Location Address
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Address Line | 1100 9TH AVE
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City | SEATTLE
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State | WA
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Zip | 98101-2756
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Country | US
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Telephone | 206-223-6600
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 741515
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City | LOS ANGELES
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State | CA
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Zip | 90074-1515
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Country | US
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Telephone | 206-515-5811
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Fax |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT61420825
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1360775
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License Number State | TX
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