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General NPI Number Information
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NPI Number | 1396650727
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Entity Type | Individual
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Provider Name | CLIFTON CANALES
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Gender | Male
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Dates
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Enumeration Date | 08/18/2026
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Last Update Date | 08/18/2026
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Provider Practice Location Address
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Address Line | 215 E ELM AVE APT 305
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City | MONROE
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State | MI
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Zip | 48162-2675
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Country | US
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Telephone | 734-364-8778
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Fax |
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Provider Business Mailing Address
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Address Line | 215 E ELM AVE APT 305
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City | MONROE
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State | MI
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Zip | 48162-2675
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Country | US
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Telephone | 734-364-8778
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | C542119730964
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License Number State | MI
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