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General NPI Number Information
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NPI Number | 1164198370
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Entity Type | Individual
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Provider Name | ABILOU CALDERON MS CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 08/18/2021
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Last Update Date | 09/28/2022
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Provider Practice Location Address
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Address Line | 140 E PANHANDLE ST
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City | SLATON
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State | TX
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Zip | 79364-4238
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Country | US
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Telephone | 806-828-6591
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Fax |
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Provider Business Mailing Address
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Address Line | 606 W 7TH ST
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City | IDALOU
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State | TX
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Zip | 79329-9018
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Country | US
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Telephone | 806-778-8721
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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