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General NPI Number Information
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NPI Number | 1174755821
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Entity Type | Individual
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Provider Name | CHRISTOPHER CANALES D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/13/2009
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Last Update Date | 06/26/2024
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Provider Practice Location Address
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Address Line | 305 MITCHELL HILL RD
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City | GARDENDALE
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State | AL
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Zip | 35071-3646
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Country | US
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Telephone | 205-603-6033
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Fax | 205-631-1033
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Provider Business Mailing Address
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Address Line | 305 MITCHELL HILL RD
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City | GARDENDALE
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State | AL
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Zip | 35071-3646
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Country | US
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Telephone | 205-631-6033
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Fax | 205-631-1033
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 5635
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License Number State | AL
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