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Individual
DR. EDDY LLOYD CALDWELL
Active
Individual
DR. EDDY LLOYD CALDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
AR-163
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130109717
—
AR
01
—
130246748
CLINIC NUMBER
AR
01
—
167681748
MEDICAID CLINIC
AR
01
—
480034780
RR MEDICARE
AR
01
—
5T344F963
MEDICARE CLLINIC
AR
Enumeration date
08/15/2005
Last updated
11/02/2011
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