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General NPI Number Information
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NPI Number | 1194138214
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Entity Type | Individual
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Provider Name | ANTHONY TRAVIS CANCIO M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/05/2014
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 18511 HIGHLANDER MEDICS ST
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City | EL PASO
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State | TX
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Zip | 79906-5327
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Country | US
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Telephone | 915-472-0278
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Fax | 915-569-0722
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Provider Business Mailing Address
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Address Line | 1805 TIN STAR ST
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City | EL PASO
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State | TX
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Zip | 79911-3108
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Country | US
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Telephone | 213-840-8280
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | MD-18552
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License Number State | HI
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