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General NPI Number Information
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NPI Number | 1467486944
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Entity Type | Individual
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Provider Name | CHRISTOPHER SCOTT CANNON MD
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Gender | Male
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2025 TECHNOLOGY PKWY SUITE 209
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City | MECHANICSBURG
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State | PA
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Zip | 17050-9400
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Country | US
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Telephone | 717-732-8182
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Fax | 717-732-8839
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Provider Business Mailing Address
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Address Line | 2025 TECHNOLOGY PKWY SUITE 209
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City | MECHANICSBURG
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State | PA
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Zip | 17050-9400
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Country | US
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Telephone | 717-732-8182
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Fax | 717-732-8839
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | MD044026E
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License Number State | PA
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