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General NPI Number Information
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NPI Number | 1326343443
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Entity Type | Individual
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Provider Name | ANN CANZONERI PT
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Gender | Female
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Dates
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Enumeration Date | 01/20/2011
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Last Update Date | 01/24/2011
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Provider Practice Location Address
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Address Line | 2100 VALLEY VIEW PKWY APT 1332
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City | EL DORADO HILLS
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State | CA
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Zip | 95762-5553
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Country | US
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Telephone | 916-459-0411
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Fax | 866-612-3632
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Provider Business Mailing Address
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Address Line | PO BOX 4661
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City | EL DORADO HILLS
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State | CA
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Zip | 95762-0022
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Country | US
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Telephone | 916-459-0411
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Fax | 866-612-3632
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 15318
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License Number State | CA
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