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General NPI Number Information
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NPI Number | 1063525962
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Entity Type | Individual
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Provider Name | CANH JEFF V VO D.O.
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Gender | Male
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Dates
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Enumeration Date | 08/16/2006
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Last Update Date | 05/23/2025
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Provider Practice Location Address
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Address Line | 3902 HIGHWAY 22
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City | MANDEVILLE
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State | LA
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Zip | 70471-7330
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Country | US
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Telephone | 985-778-2420
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Fax | 339-217-9850
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Provider Business Mailing Address
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Address Line | 3902 HIGHWAY 22
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City | MANDEVILLE
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State | LA
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Zip | 70471-7330
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Country | US
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Telephone | 985-778-2420
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Fax | 339-217-9850
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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 | 02626
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 325969
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License Number State | LA
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