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General NPI Number Information
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NPI Number | 1760513659
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Entity Type | Individual
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Provider Name | CYNTHIA J CALDERON RNCS ANP
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Gender | Female
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Dates
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Enumeration Date | 03/09/2007
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Last Update Date | 03/22/2016
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Provider Practice Location Address
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Address Line | BRIDGEWATER STATE UNIVERSITY 351 GREAT HILL DRIVE
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City | BRIDGEWATER
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State | MA
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Zip | 02325-0001
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Country | US
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Telephone | 508-531-1252
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Fax | 508-531-6193
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Provider Business Mailing Address
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Address Line | 1236 S PRECINCT ST
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City | EAST TAUNTON
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State | MA
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Zip | 02718-1578
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Country | US
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Telephone | 508-828-1471
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 228667
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License Number State | MA
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