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General NPI Number Information
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NPI Number | 1932197514
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Entity Type | Individual
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Provider Name | CAROL E CALHOUN RPA-C
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Gender | Female
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Dates
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Enumeration Date | 10/08/2005
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Last Update Date | 08/03/2016
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Provider Practice Location Address
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Address Line | 1185 SWEET HOME RD
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City | AMHERST
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State | NY
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Zip | 14226-1018
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Country | US
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Telephone | 716-668-9004
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Fax | 716-422-2802
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Provider Business Mailing Address
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Address Line | 1185 SWEET HOME RD ATTN: CREDENTIALING
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City | AMHERST
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State | NY
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Zip | 14226-1018
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Country | US
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Telephone | 716-689-0040
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Fax | 716-422-2802
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 0094001
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License Number State |
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