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General NPI Number Information
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NPI Number | 1366019663
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Entity Type | Organization
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Legal Business Name | CAN COMMUNITY HEALTH, INC.
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Dates
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Enumeration Date | 06/07/2021
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Last Update Date | 06/05/2025
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Provider Practice Location Address
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Address Line | 6315 N CENTER DR STE 100
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City | NORFOLK
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State | VA
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Zip | 23502-0010
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Country | US
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Telephone | 757-346-5770
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Fax | 866-292-0928
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Provider Business Mailing Address
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Address Line | PO BOX 1000 DEPT 394
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City | MEMPHIS
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State | TN
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Zip | 38148-0001
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Country | US
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Telephone | 941-300-4440
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Fax | 941-404-1760
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | RISHI B PATEL
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Credential |
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Telephone | 941-300-4440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number |
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License Number State |
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