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General NPI Number Information
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NPI Number | 1801108014
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Entity Type | Individual
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Provider Name | AURA CORINA CALDERA DDS
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Gender | Female
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Dates
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Enumeration Date | 07/06/2010
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Last Update Date | 09/05/2012
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Provider Practice Location Address
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Address Line | 327 CENTRAL PARK WEST
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City | NEW YORK
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State | NY
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Zip | 10028
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Country | US
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Telephone | 917-216-3036
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Fax |
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Provider Business Mailing Address
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Address Line | 83 HERITAGE COURT
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City | WOODCLIFF LAKE
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State | NJ
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Zip | 07677
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Country | US
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Telephone | 917-216-3036
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 22D102429500
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 054941-1
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License Number State | NY
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