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General NPI Number Information
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NPI Number | 1174487755
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Entity Type | Individual
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Provider Name | ALVIN PAUL CALDERON
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Gender |
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Dates
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Enumeration Date | 12/09/2025
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 1060 FIRST COLONIAL RD
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City | VIRGINIA BEACH
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State | VA
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Zip | 23454-3002
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Country | US
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Telephone | 757-395-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 2501 LYNNFIELD CT
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City | CHESAPEAKE
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State | VA
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Zip | 23323-7012
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Country | US
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Telephone | 757-812-4541
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 0001322213
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License Number State | VA
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