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General NPI Number Information
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NPI Number | 1285092155
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Entity Type | Individual
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Provider Name | SANDRA A CALDERON LVN
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Gender | Female
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Dates
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Enumeration Date | 02/05/2016
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Last Update Date | 02/05/2016
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Provider Practice Location Address
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Address Line | 405 W 5TH ST FL 6
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City | SANTA ANA
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State | CA
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Zip | 92701-4599
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Country | US
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Telephone | 714-834-4144
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Fax | 714-834-4445
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Provider Business Mailing Address
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Address Line | 7812 BURNS AVE
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City | DOWNEY
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State | CA
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Zip | 90241-4219
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Country | US
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Telephone | 323-371-4080
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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 | 164X00000X
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Taxonomy Name | Licensed Vocational Nurse
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License Number | 240822
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License Number State | CA
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