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NPI Code Detail

MEDICARE: ALESSANDRA CALHOUN

MEDICARE:   ALESSANDRA  CALHOUN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker

General Provider Information

NPI Number : 1730412420
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALESSANDRA CALHOUN
Provider Business Mailing Address
First Line : 3900 OSUNA RD NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87109-4459
Country : US
Telephone Number : 505-967-0100
Fax Number :
Provider Business Practice Location Address
First Line : 3900 OSUNA RD NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87109-4459
Country : US
Telephone Number : 505-967-0100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/11/2009
Last Update Date : 09/11/2009

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Directions to “ ALESSANDRA CALHOUN ” Practice Location

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