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General NPI Number Information
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NPI Number | 1326257114
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Entity Type | Individual
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Provider Name | RENATO CALABRIA M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 05/30/2025
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Provider Practice Location Address
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Address Line | 7000 SW 62ND AVE PH B
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-4721
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Country | US
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Telephone | 310-801-0089
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Fax |
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Provider Business Mailing Address
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Address Line | 436 N BEDFORD DR STE 200
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City | BEVERLY HILLS
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State | CA
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Zip | 90210-4310
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Country | US
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Telephone | 310-777-0069
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Fax | 310-858-3150
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | ME171111
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | A43041
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License Number State | CA
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