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General NPI Number Information
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NPI Number | 1255851036
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Entity Type | Organization
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Legal Business Name | ALBERT CANAS MD AND ASSOCIATES AESTHETICS
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Dates
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Enumeration Date | 06/22/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1680 MICHIGAN AVE STE 901
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City | MIAMI BEACH
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State | FL
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Zip | 33139-2550
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Country | US
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Telephone | 305-534-0565
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Fax | 305-388-7752
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Provider Business Mailing Address
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Address Line | 1680 MICHIGAN AVE STE 901
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City | MIAMI BEACH
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State | FL
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Zip | 33139-2550
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Country | US
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Telephone | 305-534-0565
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Fax | 305-388-7752
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MR. STEWART STEIN
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Credential |
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Telephone | 786-607-1030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | ME63054
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License Number State | FL
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