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General NPI Number Information
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NPI Number | 1639126865
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Entity Type | Individual
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Provider Name | MAGALIS CALDERON-NADAL PH.D.
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Gender | Female
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Dates
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Enumeration Date | 05/31/2006
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Last Update Date | 10/29/2010
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Provider Practice Location Address
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Address Line | 1907 LUBBOCK ST
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City | HARLINGEN
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State | TX
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Zip | 78550-8206
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Country | US
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Telephone | 956-536-0996
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Fax | 956-423-3266
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Provider Business Mailing Address
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Address Line | 2322 S 25TH ST
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City | HARLINGEN
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State | TX
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Zip | 78550-8514
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Country | US
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Telephone | 956-536-0996
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Fax | 956-423-3266
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 32292
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License Number State | TX
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