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General NPI Number Information
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NPI Number | 1497420129
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Entity Type | Individual
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Provider Name | NOUNGUIM VIRGINIA CALDERON MSN, APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 08/13/2021
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Last Update Date | 12/30/2025
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Provider Practice Location Address
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Address Line | 6220 OLD DOBBIN LN STE 200
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City | COLUMBIA
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State | MD
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Zip | 21045-5813
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Country | US
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Telephone | 410-964-5300
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Fax |
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Provider Business Mailing Address
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Address Line | 18125 HOMELAND DR
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City | OLNEY
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State | MD
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Zip | 20832-1792
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Country | US
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Telephone | 240-483-7364
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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 | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | R187414
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F05210848
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License Number State | MD
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