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General NPI Number Information
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NPI Number | 1114961091
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Entity Type | Individual
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Provider Name | JOSE A CANGIANO M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/15/2006
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Last Update Date | 08/19/2016
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Provider Practice Location Address
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Address Line | 35 CALLE CASTILLO
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City | PONCE
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State | PR
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Zip | 00730-3747
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Country | US
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Telephone | 787-840-1717
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Fax | 787-848-0606
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Provider Business Mailing Address
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Address Line | PO BOX 7105 PMB 595
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City | PONCE
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State | PR
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Zip | 00732
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Country | US
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Telephone | 787-840-1717
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Fax | 787-848-0606
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 13250
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License Number State | PR
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