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General NPI Number Information
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NPI Number | 1487856779
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Entity Type | Individual
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Provider Name | RENA DESAI CALLAHAN M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/31/2007
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Last Update Date | 01/23/2020
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Provider Practice Location Address
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Address Line | 27235 TOURNEY RD STE 2400
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City | VALENCIA
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State | CA
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Zip | 91355-5905
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Country | US
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Telephone | 661-255-5350
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Fax | 661-255-9907
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Provider Business Mailing Address
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Address Line | 5767 W CENTURY BLVD STE 400
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City | LOS ANGELES
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State | CA
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Zip | 90045-5631
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Country | US
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Telephone |
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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 | 207RH0000X
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Taxonomy Name | Hematology (Internal Medicine) Physician
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License Number | A94238
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | A94238
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 2086X0206X
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Taxonomy Name | Surgical Oncology Physician
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License Number | A94238
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A94238
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License Number State | CA
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