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General NPI Number Information
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NPI Number | 1366602146
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Entity Type | Individual
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Provider Name | ROSEMARY JANE CANALES CNP
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Gender | Female
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Dates
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Enumeration Date | 06/14/2008
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Last Update Date | 07/06/2021
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Provider Practice Location Address
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Address Line | 350 JOHN MUIR PKWY SUITE 105
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City | BRENTWOOD
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State | CA
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Zip | 94513-5183
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Country | US
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Telephone | 925-513-6533
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Fax | 925-513-4957
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Provider Business Mailing Address
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Address Line | 3345 MICHELSON DR STE 100
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City | IRVINE
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State | CA
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Zip | 92612-0693
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Country | US
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Telephone | 888-227-3312
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | COA.10058-NP
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | CNP01610
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License Number State | NM
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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 | 22958
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License Number State | CA
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