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General NPI Number Information
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NPI Number | 1770580052
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Entity Type | Individual
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Provider Name | MARK CALARCO DO, MBA
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Gender | Male
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Dates
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Enumeration Date | 07/01/2005
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Last Update Date | 08/22/2013
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Provider Practice Location Address
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Address Line | 725 COOL SPRINGS BLVD SUITE 600
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City | FRANKLIN
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State | TN
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Zip | 37067-2702
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Country | US
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Telephone | 615-732-6170
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Fax | 888-357-6695
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Provider Business Mailing Address
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Address Line | PO BOX 3409
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City | BRENTWOOD
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State | TN
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Zip | 37024-3409
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Country | US
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Telephone | 615-732-6170
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Fax | 888-357-6695
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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 | 173000000X
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Taxonomy Name | Legal Medicine
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License Number | DO1613
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 2083T0002X
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Taxonomy Name | Medical Toxicology (Preventive Medicine) Physician
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License Number | DO0000001613
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 207QB0002X
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Taxonomy Name | Obesity Medicine (Family Medicine) Physician
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License Number | DO0000001613
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License Number State | TN
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