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NPI 1790609550

NPI 1790609550 : REBECCA M CALHOUN LPN : IRON MOUNTAIN, MI

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General NPI Number Information
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    NPI Number           |    1790609550
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    Entity Type          |    Individual 
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    Provider Name        |    REBECCA M CALHOUN LPN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/05/2026
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    Last Update Date     |    08/05/2026
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Provider Practice Location Address
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    Address Line         |    325 E H ST 
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    City                 |    IRON MOUNTAIN
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    State                |    MI
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    Zip                  |    49801-4760
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    Country              |    US
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    Telephone            |    715-362-4080
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    Fax                  |    906-779-7454
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Provider Business Mailing Address
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    Address Line         |    325 E H ST 
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    City                 |    IRON MOUNTAIN
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    State                |    MI
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    Zip                  |    49801-4760
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    Country              |    US
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    Telephone            |    715-362-4080
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    Fax                  |    906-779-7454
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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        |    164W00000X
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    Taxonomy Name        |    Licensed Practical Nurse
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    License Number       |    309179
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    License Number State |    WI
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