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General NPI Number Information
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NPI Number | 1376576454
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Entity Type | Organization
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Legal Business Name | ELIZABETH F. CALLAHAN, M.D., LLC
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Dates
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Enumeration Date | 07/09/2006
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Last Update Date | 10/31/2019
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Provider Practice Location Address
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Address Line | 5911 N HONORE AVE SUITE 210
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City | SARASOTA
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State | FL
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Zip | 34243-2606
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Country | US
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Telephone | 941-308-7546
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Fax | 941-308-7550
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Provider Business Mailing Address
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Address Line | 5911 N HONORE AVE SUITE 210
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City | SARASOTA
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State | FL
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Zip | 34243-2606
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Country | US
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Telephone | 941-308-7546
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Fax | 941-308-7550
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | MR. TOM SIDGMORE
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Credential |
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Telephone | 941-308-7546
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME89181
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License Number State | FL
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