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General NPI Number Information
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NPI Number | 1578996146
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Entity Type | Individual
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Provider Name | CALVI ENID PABON-NADAL MD
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Gender | Female
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Dates
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Enumeration Date | 08/18/2013
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Last Update Date | 08/18/2013
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Provider Practice Location Address
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Address Line | 2575 N COURTENAY PKWY
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City | MERRITT ISLAND
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State | FL
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Zip | 32953-4126
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Country | US
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Telephone | 321-454-7165
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Fax |
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Provider Business Mailing Address
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Address Line | 4825 N US HIGHWAY 1
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City | MELBOURNE
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State | FL
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Zip | 32935-7207
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Country | US
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Telephone | 321-271-0170
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Fax | 321-610-7638
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 5113
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License Number State | PR
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