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General NPI Number Information
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NPI Number | 1689262651
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Entity Type | Individual
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Provider Name | STEPHANIE NICOLE CALDERA
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Gender | Female
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Dates
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Enumeration Date | 01/06/2021
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Last Update Date | 11/25/2024
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Provider Practice Location Address
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Address Line | 547 AMHERST ST
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City | NASHUA
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State | NH
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Zip | 03063-4000
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Country | US
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Telephone | 843-460-3521
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 187
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City | DUNSTABLE
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State | MA
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Zip | 01827-0187
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Country | US
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Telephone | 978-807-2798
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 3097
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License Number State | NH
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