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General NPI Number Information
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NPI Number | 1558300301
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Entity Type | Organization
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Legal Business Name | CALABRETTA COSMETIC SURGERY CENTER PLLC
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Dates
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Enumeration Date | 06/06/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1918 RANDOLPH RD STE 850 CALABRETTA COSMETIC SURGERY CENTER PLLC
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City | CHARLOTTE
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State | NC
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Zip | 28207
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Country | US
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Telephone | 704-444-5800
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Fax | 704-444-5819
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Provider Business Mailing Address
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Address Line | 1918 RANDOLPH RD STE 850 CALABRETTA COSMETIC SURGERY CENTER PLLC
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City | CHARLOTTE
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State | NC
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Zip | 28207
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Country | US
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Telephone | 704-444-5800
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Fax | 704-444-5819
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Authorized Official
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Title or Position | PLASTIC SURGEON
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Name | DR. ARTHUR M CALABRETTA
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Credential | MD
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Telephone | 704-444-5800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | 25696
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License Number State | NC
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