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General NPI Number Information
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NPI Number | 1184152100
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Entity Type | Individual
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Provider Name | CANAAN ARCENEAUX DO
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Gender | Male
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Dates
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Enumeration Date | 06/03/2017
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Last Update Date | 11/06/2024
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Provider Practice Location Address
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Address Line | 195 MONTAGUE ST FL 1
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City | BROOKLYN
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State | NY
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Zip | 11201-3628
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Country | US
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Telephone | 718-422-8000
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Fax | 718-422-8265
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Provider Business Mailing Address
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Address Line | 55 WATER ST FL 2
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City | NEW YORK
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State | NY
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Zip | 10041-0010
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Country | US
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Telephone | 646-680-2888
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Fax | 516-542-5556
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS020831
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License Number State | PA
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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 | 333562
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License Number State | NY
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