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General NPI Number Information
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NPI Number | 1699617043
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Entity Type | Organization
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Legal Business Name | CALIBER CHANGEMAKERS ACADEMY
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Dates
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Enumeration Date | 04/06/2026
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Last Update Date | 04/06/2026
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Provider Practice Location Address
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Address Line | 500 OREGON ST
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City | VALLEJO
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State | CA
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Zip | 94590-3254
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Country | US
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Telephone | 707-563-9827
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Fax |
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Provider Business Mailing Address
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Address Line | 3260 BLUME DR STE 120
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City | RICHMOND
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State | CA
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Zip | 94806-1960
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Country | US
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Telephone | 415-860-4963
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARKUS MULLARKEY
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Credential |
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Telephone | 415-860-4963
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State |
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