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General NPI Number Information
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NPI Number | 1710054127
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Entity Type | Individual
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Provider Name | RENA AHUJA M.D.
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Gender | Female
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 04/17/2013
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Provider Practice Location Address
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Address Line | 355 PLACENTIA AVE SUITE 209
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City | NEWPORT BEACH
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State | CA
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Zip | 92663-3311
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Country | US
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Telephone | 949-209-2789
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Fax | 888-726-1822
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Provider Business Mailing Address
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Address Line | PO BOX 2724
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City | NEWPORT BEACH
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State | CA
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Zip | 92659-0210
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Country | US
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Telephone | 949-335-5660
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A90836
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License Number State | CA
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