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General NPI Number Information
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NPI Number | 1669630422
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Entity Type | Individual
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Provider Name | CESAR ARTURO CALDERON MD
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Gender | Male
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Dates
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Enumeration Date | 05/29/2008
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Last Update Date | 05/29/2008
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Provider Practice Location Address
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Address Line | 3950 TIGER BAY RD TOMOKA CORRECTIONAL INSTITUTION MEDICAL DEPT
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City | DAYTONA BEACH
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State | FL
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Zip | 32124-1098
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Country | US
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Telephone | 386-323-1120
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Fax | 386-323-1168
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Provider Business Mailing Address
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Address Line | 3950 TIGER BAY RD MEDICAL TOMOKA CORRECTIONAL INSTITUTION
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City | DAYTONA BEACH
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State | FL
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Zip | 32124-1098
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Country | US
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Telephone | 386-323-1120
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Fax | 386-323-1168
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 5746
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | ACN63
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License Number State | FL
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