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General NPI Number Information
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NPI Number | 1578719613
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Entity Type | Individual
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Provider Name | RAMON CALDERON
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Gender | Male
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Dates
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Enumeration Date | 08/08/2008
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Last Update Date | 08/08/2008
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Provider Practice Location Address
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Address Line | 183 CALLE ZAFIRO URB VILLA ALEGRIA
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City | AGUADILLA
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State | PR
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Zip | 00603-5637
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Country | US
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Telephone | 787-891-5805
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Fax | 787-891-5805
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Provider Business Mailing Address
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Address Line | 183 ZAFIRO STREET URB. VILLA ALEGRIA
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City | AGUADILLA
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State | PUERTO RICO
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Zip | 00603
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Country | UM
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Telephone | 787-891-5805
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Fax | 787-891-5805
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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 | 146D00000X
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Taxonomy Name | Personal Emergency Response Attendant
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License Number | 0662776
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License Number State | PR
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