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General NPI Number Information
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NPI Number | 1295245991
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Entity Type | Individual
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Provider Name | MR. JOSEPH S CANNATELLA III
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Gender | Male
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Dates
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Enumeration Date | 10/07/2017
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Last Update Date | 10/07/2017
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Provider Practice Location Address
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Address Line | 3820 CANAL ST
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City | NEW ORLEANS
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State | LA
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Zip | 70119-6037
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Country | US
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Telephone | 504-324-5648
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Fax |
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Provider Business Mailing Address
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Address Line | 2411 RICHLAND AVE APT 226
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City | METAIRIE
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State | LA
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Zip | 70001-1585
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Country | US
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Telephone | 504-408-8835
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 13232
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License Number State | LA
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