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General NPI Number Information
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NPI Number | 1366440208
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Entity Type | Individual
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Provider Name | ISAAC RAMON CALERO SR. DMD
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Gender | Male
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Dates
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Enumeration Date | 07/13/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 108 CALLE ROMAN
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City | ISABELA
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State | PR
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Zip | 00662-2928
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Country | US
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Telephone | 787-872-7840
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Fax | 787-872-7840
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Provider Business Mailing Address
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Address Line | B2 CALLE TURQUESA URBANIZACION LAMELA
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City | ISABELA
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State | PR
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Zip | 00662-2369
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Country | US
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Telephone | 787-872-3492
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Fax | 787-872-7840
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 2629
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License Number State | PR
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