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General NPI Number Information
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NPI Number | 1427034685
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Entity Type | Individual
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Provider Name | JUAN CARLOS CALZETTA MD
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Gender | Male
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Dates
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Enumeration Date | 12/20/2005
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Last Update Date | 11/20/2008
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Provider Practice Location Address
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Address Line | 770 E ROMIE LN SUITE D
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City | SALINAS
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State | CA
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Zip | 93901-4222
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Country | US
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Telephone | 831-422-8808
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Fax | 831-422-9780
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Provider Business Mailing Address
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Address Line | 770 E ROMIE LN SUITE D
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City | SALINAS
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State | CA
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Zip | 93901-4222
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Country | US
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Telephone | 831-422-8808
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Fax | 831-422-9780
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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 | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | C40652
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License Number State | CA
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