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General NPI Number Information
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NPI Number | 1538312194
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Entity Type | Organization
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Legal Business Name | DR. DARLYNE CANGE, DPM, LLC
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Dates
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Enumeration Date | 10/28/2008
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Last Update Date | 02/19/2009
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Provider Practice Location Address
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Address Line | 4367 HOLLINS FERRY RD SUITE 4A
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City | BALTIMORE
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State | MD
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Zip | 21227-3400
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Country | US
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Telephone | 410-733-4770
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1606
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City | ELLICOTT CITY
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State | MD
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Zip | 21041-1606
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Country | US
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Telephone | 410-733-4770
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Fax |
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Authorized Official
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Title or Position | DPM/PODIATRIC PHYSICIAN & SURGEON
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Name | DR. DARLYNE CANGE
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Credential | DPM
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Telephone | 410-733-4770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | 01457
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License Number State | MD
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