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General NPI Number Information
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NPI Number | 1467496109
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Entity Type | Individual
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Provider Name | ANTHONY A CALABRESE PH.D.
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Gender | Male
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Dates
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Enumeration Date | 06/15/2006
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Last Update Date | 04/10/2025
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Provider Practice Location Address
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Address Line | 2117 BROADWAY DR
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City | HATTIESBURG
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State | MS
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Zip | 39402-3210
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Country | US
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Telephone | 601-288-8050
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Fax | 601-288-8058
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Provider Business Mailing Address
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Address Line | 2117 BROADWAY DR
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City | HATTIESBURG
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State | MS
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Zip | 39402-3210
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Country | US
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Telephone | 601-288-8050
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Fax | 601-288-8058
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 41680
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License Number State | MS
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