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General NPI Number Information
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NPI Number | 1932878931
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Entity Type | Organization
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Legal Business Name | DR CARA MCCALLUM PLLC
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Dates
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Enumeration Date | 09/13/2021
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Last Update Date | 09/13/2021
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Provider Practice Location Address
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Address Line | 7641 SHAFFER PKWY
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City | LITTLETON
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State | CO
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Zip | 80127-3013
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Country | US
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Telephone | 303-989-0577
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Fax |
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Provider Business Mailing Address
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Address Line | 9956 W REMINGTON PL # A10-172
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City | LITTLETON
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State | CO
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Zip | 80128-6732
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | CARA MCCALLUM
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Credential |
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Telephone | 608-658-6293
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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