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General NPI Number Information
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NPI Number | 1558308296
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Entity Type | Individual
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Provider Name | TAMARA L CALLAHAN M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/01/2006
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Last Update Date | 08/26/2024
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Provider Practice Location Address
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Address Line | 4123 DUTCHMANS LN STE 507
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City | LOUISVILLE
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State | KY
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Zip | 40207
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Country | US
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Telephone | 502-259-3250
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Fax | 502-259-3255
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Provider Business Mailing Address
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Address Line | PO BOX 776351
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City | CHICAGO
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State | IL
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Zip | 60677-6351
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Country | US
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Telephone | 502-272-5754
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Fax | 502-272-5339
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 212432
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | MD41732
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 51077
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License Number State | KY
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