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General NPI Number Information
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NPI Number | 1629183215
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Entity Type | Organization
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Legal Business Name | JAMES C. CALVIN DDS P.C
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Dates
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Enumeration Date | 08/21/2006
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Last Update Date | 08/16/2018
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Provider Practice Location Address
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Address Line | 1512 NORTH UNION BLVD SUITE 101
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City | COLORADO SPRINGS
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State | CO
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Zip | 80909-2884
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Country | US
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Telephone | 719-633-2266
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Fax | 719-578-8184
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Provider Business Mailing Address
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Address Line | 1512 NORTH UNION BLVD SUITE 101
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City | COLORADO SPRINGS
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State | CO
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Zip | 80909-2884
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Country | US
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Telephone | 719-633-2266
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Fax | 719-578-8184
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Authorized Official
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Title or Position | OWNER
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Name | JAMES C CALVIN
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Credential | DDS
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Telephone | 719-633-2266
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 6762
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License Number State | CO
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