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General NPI Number Information
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NPI Number | 1205763018
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Entity Type | Individual
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Provider Name | CALEY BRYCE SHUKALEK MD
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Gender | Male
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Dates
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Enumeration Date | 05/06/2026
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Last Update Date | 05/06/2026
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Provider Practice Location Address
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Address Line | 180 TALMADGE TD UNITE #312
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City | EDISON
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State | NJ
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Zip | 08817
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Country | US
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Telephone | 437-747-7584
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Fax | 855-719-0483
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Provider Business Mailing Address
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Address Line | 700 2 ST SW 3200 (PURPOSE MED)
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City | CALGARY
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State | ALBERTA
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Zip | T2P 4W3
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Country | CA
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Telephone |
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | V9717
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License Number State | TX
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