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General NPI Number Information
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NPI Number | 1205986536
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Entity Type | Individual
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Provider Name | WILLIAM DAVID CALAHAN DDS
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Gender | Male
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Dates
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Enumeration Date | 01/11/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3652 N DIXIE BLVD
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City | ODESSA
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State | TX
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Zip | 79762-6845
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Country | US
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Telephone | 432-552-0011
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Fax | 432-367-3371
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Provider Business Mailing Address
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Address Line | 3652 N DIXIE BLVD
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City | ODESSA
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State | TX
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Zip | 79762-6845
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Country | US
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Telephone | 432-552-0011
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Fax | 432-367-3371
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 15128
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License Number State | TX
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