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General NPI Number Information
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NPI Number | 1871513069
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Entity Type | Individual
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Provider Name | JANET M CALHOUN ANP
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Gender | Female
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Dates
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Enumeration Date | 07/20/2006
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Last Update Date | 10/22/2012
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Provider Practice Location Address
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Address Line | 1500 S MAIN ST
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City | FORT WORTH
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State | TX
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Zip | 76104-4917
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Country | US
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Telephone | 817-921-3431
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Fax |
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Provider Business Mailing Address
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Address Line | 3050 TIMBERLINE DR JPS-GRAPEVINE-COLLEYVILLE ISD SBHC
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City | GRAPEVINE
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State | TX
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Zip | 76051-5998
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Country | US
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Telephone | 817-251-5752
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 439058
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License Number State | TX
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