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General NPI Number Information
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NPI Number | 1629595335
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Entity Type | Individual
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Provider Name | CARINA CALDERON MINER
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Gender | Female
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Dates
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Enumeration Date | 08/23/2017
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Last Update Date | 04/15/2021
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Provider Practice Location Address
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Address Line | 1259 FM 1463 RD STE 500
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City | KATY
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State | TX
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Zip | 77494-5480
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Country | US
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Telephone | 281-766-3831
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Fax |
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Provider Business Mailing Address
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Address Line | 1259 FM 1463 RD STE 500
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City | KATY
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State | TX
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Zip | 77494-5480
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Country | US
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Telephone | 281-766-3831
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Fax | 844-615-5271
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 116266
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License Number State | TX
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