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General NPI Number Information
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NPI Number | 1396714036
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Entity Type | Individual
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Provider Name | ANTHONY C CANINO JR. MD
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Gender | Male
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Dates
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Enumeration Date | 03/15/2006
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Last Update Date | 09/24/2021
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Provider Practice Location Address
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Address Line | 200 HEALTHCARE WAY SUITE 202
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City | NORTH VENICE
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State | FL
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Zip | 34275-3670
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Country | US
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Telephone | 941-261-0145
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Fax | 941-261-0150
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Provider Business Mailing Address
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Address Line | PO BOX 863407
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City | ORLANDO
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State | FL
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Zip | 32886-3407
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Country | US
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Telephone | 941-917-2600
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 179190
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | ME150798
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License Number State | FL
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