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General NPI Number Information
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NPI Number | 1033463252
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Entity Type | Organization
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Legal Business Name | MICHAEL S. CANN, M.D., INC.
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Dates
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Enumeration Date | 11/09/2012
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Last Update Date | 11/09/2012
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Provider Practice Location Address
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Address Line | 1808 VERDUGO BLVD SUITE 112
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City | GLENDALE
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State | CA
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Zip | 91208-1477
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Country | US
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Telephone | 818-949-7380
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Fax | 818-949-7384
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Provider Business Mailing Address
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Address Line | 1808 VERDUGO BLVD SUITE 112
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City | GLENDALE
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State | CA
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Zip | 91208-1477
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Country | US
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Telephone | 818-949-7380
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Fax | 818-949-7384
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MICHAEL STERLING CANN
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Credential | M.D.
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Telephone | 818-949-7380
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0114X
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Taxonomy Name | Adult Reconstructive Orthopaedic Surgery Physician
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License Number | G23476
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License Number State | CA
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