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General NPI Number Information
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NPI Number | 1497935647
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Entity Type | Organization
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Legal Business Name | MARCOS CALDERON., M.D. P.A.
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Dates
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Enumeration Date | 11/05/2007
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Last Update Date | 06/18/2008
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Provider Practice Location Address
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Address Line | 1717 N BROWN ST STE 3
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City | EL PASO
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State | TX
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Zip | 79902-4730
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Country | US
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Telephone | 915-544-0526
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Fax | 915-544-2877
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Provider Business Mailing Address
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Address Line | 1717 N BROWN ST STE 3
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City | EL PASO
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State | TX
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Zip | 79902-4730
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Country | US
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Telephone | 915-544-0526
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Fax | 915-544-2877
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Authorized Official
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Title or Position | MD
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Name | DR. MARCOS CALDERON
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Credential | MD
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Telephone | 915-544-0526
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number | 5995
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License Number State | TX
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