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General NPI Number Information
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NPI Number | 1912395062
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Entity Type | Organization
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Legal Business Name | CALDER REHABILITATION LLC
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Dates
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Enumeration Date | 12/23/2014
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Last Update Date | 01/18/2016
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Provider Practice Location Address
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Address Line | 9049 LITTLE ARROW CT
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City | LAS VEGAS
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State | NV
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Zip | 89143-1182
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Country | US
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Telephone | 702-204-3275
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Fax | 702-534-6469
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Provider Business Mailing Address
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Address Line | 848 N RAINBOW BLVD #4106
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City | LAS VEGAS
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State | NV
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Zip | 89107-1103
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Country | US
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Telephone |
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Fax | 702-534-6469
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | CHRISTOPHER PAUL CALDER
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Credential | DPT
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Telephone | 702-204-3275
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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