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General NPI Number Information
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NPI Number | 1831100452
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Entity Type | Individual
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Provider Name | JOSE R CALVO JR. DDS
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Gender | Male
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Dates
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Enumeration Date | 08/10/2006
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Last Update Date | 02/02/2015
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Provider Practice Location Address
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Address Line | 266 EAST 49TH STREET HIALEAH DENTAL BUILDING
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City | HIALEAH
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State | FL
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Zip | 33013-1855
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Country | US
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Telephone | 305-823-9982
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Fax | 305-821-4478
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Provider Business Mailing Address
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Address Line | 266 EAST 49TH STREET HIALEAH DENTAL BUILDING
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City | HIALEAH
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State | FL
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Zip | 33013-1855
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Country | US
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Telephone | 305-823-9982
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Fax | 305-821-4478
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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 | DN11226
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License Number State | FL
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