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General NPI Number Information
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NPI Number | 1447667332
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Entity Type | Individual
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Provider Name | JAMES OTTO CALDER M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/13/2014
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Last Update Date | 01/02/2020
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Provider Practice Location Address
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Address Line | 1210 KY HIGHWAY 36 E STE 2A
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City | CYNTHIANA
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State | KY
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Zip | 41031-7492
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Country | US
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Telephone | 859-298-2650
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Fax | 859-234-0530
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Provider Business Mailing Address
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Address Line | 1210 KY HIGHWAY 36 E STE 2A
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City | CYNTHIANA
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State | KY
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Zip | 41031-7492
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Country | US
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Telephone | 859-298-2650
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Fax | 859-234-0530
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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 | 207RA0000X
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Taxonomy Name | Adolescent Medicine (Internal Medicine) Physician
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License Number | 51433
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License Number State | KY
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