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General NPI Number Information
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NPI Number | 1588629281
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Entity Type | Individual
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Provider Name | FERNANDO M CALERO SR. MD
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Gender | Male
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Dates
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Enumeration Date | 04/18/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | AVE SAN CARLOS #16
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City | AGUADILLA
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State | PR
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Zip | 00603
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Country | US
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Telephone | 787-891-5900
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Fax | 787-891-5900
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Provider Business Mailing Address
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Address Line | PO BOX 905
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City | AGUADILLA
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State | PR
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Zip | 00605
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Country | US
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Telephone | 787-891-5900
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Fax | 787-891-5900
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 2996
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License Number State | PR
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