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General NPI Number Information
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NPI Number | 1639123722
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Entity Type | Individual
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Provider Name | BEVERLY M CALKINS MD
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Gender | Female
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Dates
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Enumeration Date | 05/22/2006
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Last Update Date | 05/03/2016
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Provider Practice Location Address
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Address Line | 729 SUNRISE AVE STE 612
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City | ROSEVILLE
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State | CA
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Zip | 95661-4548
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Country | US
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Telephone | 916-666-7215
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Fax | 916-471-0165
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Provider Business Mailing Address
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Address Line | 729 SUNRISE AVE STE 612
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City | ROSEVILLE
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State | CA
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Zip | 95661-4548
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Country | US
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Telephone | 916-666-7215
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Fax | 916-471-0165
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | C54343
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License Number State | CA
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