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General NPI Number Information
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NPI Number | 1386725158
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Entity Type | Individual
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Provider Name | RENEE A. KOHANIM D.C.
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Gender | Female
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Dates
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Enumeration Date | 10/18/2006
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Last Update Date | 04/24/2025
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Provider Practice Location Address
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Address Line | 3440 WILSHIRE BLVD STE 1205
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City | LOS ANGELES
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State | CA
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Zip | 90010-2127
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Country | US
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Telephone | 213-480-3190
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Fax | 213-480-3188
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Provider Business Mailing Address
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Address Line | 2355 WESTWOOD BLVD # 349
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City | LOS ANGELES
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State | CA
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Zip | 90064-2109
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Country | US
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Telephone | 310-801-0009
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Fax |
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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 | 111NX0100X
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Taxonomy Name | Occupational Health Chiropractor
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License Number | 263052157
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC 27469
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License Number State | CA
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