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General NPI Number Information
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NPI Number | 1881864056
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Entity Type | Organization
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Legal Business Name | DAVID M CALDWELL DDS PC
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Dates
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Enumeration Date | 03/04/2008
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Last Update Date | 03/04/2008
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Provider Practice Location Address
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Address Line | 715 ORLEANS ST
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City | BEAUMONT
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State | TX
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Zip | 77701
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Country | US
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Telephone | 409-835-7133
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Fax | 409-835-7180
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Provider Business Mailing Address
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Address Line | 715 ORLEANS ST
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City | BEAUMONT
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State | TX
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Zip | 77701
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Country | US
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Telephone | 409-835-7133
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Fax | 409-835-7180
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Authorized Official
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Title or Position | GENERAL DENTIST
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Name | DAVID MORRIS CALDWELL
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Credential | DDS
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Telephone | 409-835-7133
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 22917
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 12803
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License Number State | TX
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