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General NPI Number Information
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NPI Number | 1629545256
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Entity Type | Individual
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Provider Name | JANA LYNN CALDWELL L.AC.
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Gender | Female
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Dates
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Enumeration Date | 11/01/2018
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Last Update Date | 11/01/2018
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Provider Practice Location Address
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Address Line | 28120 HWY 281 N SUITE 102
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City | SAN ANTONIO
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State | TX
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Zip | 78260-1708
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Country | US
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Telephone | 210-670-7004
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Fax |
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Provider Business Mailing Address
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Address Line | 26118 INDIAN CLF
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City | SAN ANTONIO
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State | TX
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Zip | 78260-6034
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Country | US
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Telephone | 214-235-9198
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Fax |
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC01795
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License Number State | TX
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