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General NPI Number Information
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NPI Number | 1750257226
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Entity Type | Individual
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Provider Name | CHATAVIA A CALLAWAY MD
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Gender | Female
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Dates
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Enumeration Date | 10/13/2025
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Last Update Date | 11/30/2025
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Provider Practice Location Address
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Address Line | 9100 WILSHIRE BLVD STE 333
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City | BEVERLY HILLS
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State | CA
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Zip | 90212-3405
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Country | US
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Telephone | 720-574-7603
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Fax | 855-582-8275
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Provider Business Mailing Address
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Address Line | 9100 WILSHIRE BLVD STE 333
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City | BEVERLY HILLS
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State | CA
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Zip | 90212-3405
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Country | US
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Telephone | 818-824-8770
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Fax | 855-582-8275
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 374K00000X
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Taxonomy Name | Religious Nonmedical Practitioner
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License Number |
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State | CA
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