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Individual

ERIN E CALDWELL

Active
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Individual

ERIN E CALDWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0102203451
VA
207R00000X
Internal Medicine Physician
0116022639
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
VV9809B
MEDICARE PTAN
VA
01
VV9809C
MEDICARE PTAN
VA
Enumeration date
06/12/2010
Last updated
12/12/2014
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