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General NPI Number Information
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NPI Number | 1780726851
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Entity Type | Individual
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Provider Name | MANUEL E. CALZADA M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | #31 RD,13.4 KM BARRIO PENA POBRE
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City | NAGUABO
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State | PR
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Zip | 00718
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Country | US
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Telephone | 787-874-2912
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Fax | 787-874-1324
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Provider Business Mailing Address
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Address Line | PO BOX 7768
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City | CAGUAS
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State | PR
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Zip | 00726-7768
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Country | US
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Telephone | 787-874-2912
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Fax | 787-874-1324
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 10746
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License Number State | PR
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