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NPI 1407071707

NPI 1407071707 : ALBERT S CALLIE, MD, PC : TUCSON, AZ

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General NPI Number Information
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    NPI Number           |    1407071707
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    Entity Type          |    Organization 
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    Legal Business Name  |    ALBERT S CALLIE, MD, PC 
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Dates
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    Enumeration Date     |    04/13/2007
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    Last Update Date     |    08/22/2020
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Provider Practice Location Address
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    Address Line         |    6636 E CARONDELET DR 
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    City                 |    TUCSON
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    State                |    AZ
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    Zip                  |    85710-2119
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    Country              |    US
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    Telephone            |    520-298-3383
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    Fax                  |    520-298-4850
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Provider Business Mailing Address
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    Address Line         |    6636 E CARONDELET DR 
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    City                 |    TUCSON
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    State                |    AZ
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    Zip                  |    85710-2119
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    Country              |    US
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    Telephone            |    520-298-3383
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    Fax                  |    520-298-4850
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. ALBERT  CALLIE 
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    Credential           |    MD
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    Telephone            |    520-298-3383
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    208000000X
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    Taxonomy Name        |    Pediatrics Physician
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    License Number       |    
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    License Number State |    
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