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General NPI Number Information
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NPI Number | 1578756581
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Entity Type | Individual
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Provider Name | GEORGE JAMES KALLINS M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/22/2007
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Last Update Date | 07/24/2013
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Provider Practice Location Address
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Address Line | 3720 S SUSAN ST
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City | SANTA ANA
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State | CA
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Zip | 92704-6967
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Country | US
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Telephone | 714-668-8888
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Fax | 714-668-8889
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Provider Business Mailing Address
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Address Line | 16 DEERWOOD LN
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-5109
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Country | US
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Telephone | 949-644-5817
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Fax | 949-644-5893
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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 | G64106
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License Number State | CA
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