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General NPI Number Information
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NPI Number | 1235457425
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Entity Type | Individual
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Provider Name | ZURAIMA TAILI CALDERA M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/12/2010
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Last Update Date | 01/05/2022
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Provider Practice Location Address
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Address Line | 2901 CABALLO RANCH BLVD STE 6D
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City | CEDAR PARK
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State | TX
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Zip | 78641-4637
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Country | US
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Telephone | 512-851-1220
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Fax | 512-851-1080
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Provider Business Mailing Address
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Address Line | 2901 CABALLO RANCH BLVD STE 6D
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City | CEDAR PARK
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State | TX
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Zip | 78641-4637
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Country | US
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Telephone | 512-851-1220
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Fax | 512-851-1080
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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 | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | BP20042880
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | Q4055
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License Number State | TX
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