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NPI 1407996481

NPI 1407996481 : KAREN ELIZABETH CALDWELL MD-PHD : LYNN, MA

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General NPI Number Information
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    NPI Number           |    1407996481
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    Entity Type          |    Individual 
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    Provider Name        |    KAREN ELIZABETH CALDWELL MD-PHD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/07/2007
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    Last Update Date     |    02/25/2015
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Provider Practice Location Address
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    Address Line         |    269 UNION ST 
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    City                 |    LYNN
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    State                |    MA
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    Zip                  |    01901-1314
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    Country              |    US
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    Telephone            |    781-596-2502
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    Fax                  |    781-596-3966
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Provider Business Mailing Address
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    Address Line         |    694 WESTERN AVE 
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    City                 |    LYNN
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    State                |    MA
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    Zip                  |    01905-2229
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    Country              |    US
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    Telephone            |    781-595-7348
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    Fax                  |    781-598-3583
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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        |    207RR0500X
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    Taxonomy Name        |    Rheumatology Physician
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    License Number       |    231625
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    License Number State |    MA
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