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General NPI Number Information
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NPI Number | 1497903959
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Entity Type | Individual
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Provider Name | CHERYL A CALDERON LISW
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Gender | Female
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Dates
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Enumeration Date | 09/08/2008
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Last Update Date | 06/05/2025
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Provider Practice Location Address
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Address Line | 209 MARTIN LUTHER KING JR WAY
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City | TACOMA
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State | WA
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Zip | 98405-4267
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Country | US
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Telephone | 253-596-3300
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Fax | 253-596-3301
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Provider Business Mailing Address
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Address Line | 209 MARTIN LUTHER KING JR WAY
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City | TACOMA
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State | WA
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Zip | 98405-4267
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Country | US
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Telephone | 253-596-3300
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Fax | 253-596-3301
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | L2914
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | LW60436991
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License Number State | WA
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