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General NPI Number Information
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NPI Number | 1154810190
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Entity Type | Individual
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Provider Name | EMMA CHRISTINE CANION FNP-C
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Gender | Female
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Dates
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Enumeration Date | 05/04/2018
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Last Update Date | 11/18/2021
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Provider Practice Location Address
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Address Line | 101 W GOODWIN AVE STE 600
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City | VICTORIA
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State | TX
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Zip | 77901-6757
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Country | US
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Telephone | 361-827-4637
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Fax |
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Provider Business Mailing Address
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Address Line | 4535 DRESSLER RD NW
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City | CANTON
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State | OH
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Zip | 44718-2545
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Country | US
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Telephone | 800-828-0898
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Fax | 330-493-8677
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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 | 163WE0003X
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Taxonomy Name | Emergency Registered Nurse
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License Number | 736017
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License Number State | TX
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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 | AP138580
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP138580
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License Number State | TX
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