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General NPI Number Information
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NPI Number | 1922031509
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Entity Type | Organization
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Legal Business Name | MARK S. CALKINS, MD, PA.
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Dates
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Enumeration Date | 07/08/2006
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Last Update Date | 04/18/2008
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Provider Practice Location Address
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Address Line | 550 TWIN CITIES BLVD STE A
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City | NICEVILLE
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State | FL
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Zip | 32578-1050
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Country | US
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Telephone | 850-729-2727
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Fax | 850-729-7066
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Provider Business Mailing Address
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Address Line | 550 TWIN CITIES BLVD STE A
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City | NICEVILLE
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State | FL
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Zip | 32578-1050
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Country | US
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Telephone | 850-729-2727
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Fax | 850-729-7066
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | PENNY MAUS
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Credential |
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Telephone | 850-729-2727
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | ME39537
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License Number State | FL
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