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General NPI Number Information
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NPI Number | 1700822251
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Entity Type | Organization
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Legal Business Name | RAMONA L. CALIVA DPM
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Dates
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Enumeration Date | 06/22/2006
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Last Update Date | 01/22/2014
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Provider Practice Location Address
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Address Line | 1211 IVY RD STE 100
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City | BREMERTON
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State | WA
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Zip | 98310-3511
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Country | US
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Telephone | 360-373-1772
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Fax | 360-377-7151
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Provider Business Mailing Address
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Address Line | 1211 IVY RD STE 100
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City | BREMERTON
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State | WA
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Zip | 98310-3511
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Country | US
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Telephone | 360-373-1772
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Fax | 360-377-7151
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Authorized Official
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Title or Position | OWNER/PODIATRIST
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Name | DR. RAMONA L CALIVA
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Credential | DPM
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Telephone | 360-373-1772
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | P 392
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License Number State | WA
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