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General NPI Number Information
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NPI Number | 1134968894
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Entity Type | Individual
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Provider Name | DR. CESAR ANTONIO CANO
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Gender | Male
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Dates
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Enumeration Date | 05/22/2024
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Last Update Date | 05/22/2024
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Provider Practice Location Address
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Address Line | 653 AVE LUIS MUNOZ RIVERA
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City | SAN JUAN
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State | PR
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Zip | 00918-3631
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Country | US
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Telephone | 939-323-0996
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Fax |
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Provider Business Mailing Address
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Address Line | 10227 SUMMER AZURE DR
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City | RIVERVIEW
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State | FL
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Zip | 33578-5841
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Country | US
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Telephone | 939-323-0996
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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