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General NPI Number Information
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NPI Number | 1033236765
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Entity Type | Individual
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Provider Name | CALVIN ROBERT KLEIN MD
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Gender | Male
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 02/09/2010
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Provider Practice Location Address
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Address Line | 2336 SANTA MONICA BLVD SUITE 301
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City | SANTA MONICA
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State | CA
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Zip | 90404-2095
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Country | US
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Telephone | 310-829-5471
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Fax | 310-829-6192
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Provider Business Mailing Address
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Address Line | 5767 W CENTURY BLVD SUITE 200
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City | LOS ANGELES
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State | CA
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Zip | 90045-5632
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Country | US
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Telephone | 310-829-5471
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Fax | 310-829-6192
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | G19180
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License Number State | CA
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