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General NPI Number Information
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NPI Number | 1376342931
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Entity Type | Organization
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Legal Business Name | RAUL CALDERON MD INC
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Dates
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Enumeration Date | 03/07/2025
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Last Update Date | 04/17/2025
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Provider Practice Location Address
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Address Line | 4955 VAN NUYS BLVD STE 505
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-1829
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Country | US
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Telephone | 818-265-8300
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Fax |
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Provider Business Mailing Address
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Address Line | 4955 VAN NUYS BLVD STE 505
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-1829
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Country | US
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Telephone | 818-265-8300
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Fax |
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Authorized Official
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Title or Position | OWNER/MD
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Name | RAUL CALDERON
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Credential |
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Telephone | 559-360-5959
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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