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General NPI Number Information
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NPI Number | 1356447221
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Entity Type | Individual
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Provider Name | ROBERT M MACCANI I D.O.
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Gender | Male
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Dates
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Enumeration Date | 09/16/2006
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Last Update Date | 03/29/2021
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Provider Practice Location Address
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Address Line | 700 COOPER AVE
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City | SAGINAW
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State | MI
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Zip | 48602-5383
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Country | US
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Telephone | 989-583-6242
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Fax |
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Provider Business Mailing Address
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Address Line | 1431 CENTERPOINT BLVD STE 100
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City | KNOXVILLE
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State | TN
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Zip | 37932-1983
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Country | US
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Telephone |
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 9381
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 62602
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 5101022866
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License Number State | MI
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