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General NPI Number Information
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NPI Number | 1497354682
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Entity Type | Individual
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Provider Name | ANDRES CALDERON MD
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Gender | Male
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Dates
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Enumeration Date | 10/20/2020
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 9202 HIGHWAY 278 NE STE 100D
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City | COVINGTON
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State | GA
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Zip | 30014-7011
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Country | US
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Telephone | 678-342-8674
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Fax |
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Provider Business Mailing Address
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Address Line | 254 EASTON AVE
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City | NEW BRUNSWICK
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State | NJ
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Zip | 08901-1766
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Country | US
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Telephone | 732-745-8585
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Fax |
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 105467
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License Number State | GA
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