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General NPI Number Information
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NPI Number | 1497162572
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Entity Type | Organization
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Legal Business Name | CRAIG W. CALHOUN, MD, PROF. CORP.
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Dates
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Enumeration Date | 07/21/2014
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Last Update Date | 07/21/2014
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Provider Practice Location Address
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Address Line | 444 BRUCE ST
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City | YREKA
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State | CA
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Zip | 96097-3450
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Country | US
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Telephone | 530-842-4121
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Fax |
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Provider Business Mailing Address
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Address Line | 10604 E NATIVE ROSE TRL
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City | TUCSON
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State | AZ
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Zip | 85747-6020
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Country | US
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Telephone | 520-495-0198
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CRAIG W CALHOUN
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Credential | MD
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Telephone | 503-746-6552
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD24325
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License Number State | OR
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