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General NPI Number Information
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NPI Number | 1811480783
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Entity Type | Individual
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Provider Name | MICHAEL JAMES CALTZONTZINT PMHNP
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Gender | Male
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Dates
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Enumeration Date | 06/14/2018
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 2217 N PARK AVE
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City | PEARLAND
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State | TX
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Zip | 77581-4216
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Country | US
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Telephone | 832-905-1177
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Fax | 832-548-8518
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Provider Business Mailing Address
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Address Line | 1832 AMBROSIA AVE
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City | PEARLAND
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State | TX
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Zip | 77581-2346
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Country | US
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Telephone | 832-905-1177
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Fax | 832-548-8518
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP137133
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License Number State | TX
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