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General NPI Number Information
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NPI Number | 1548269384
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Entity Type | Individual
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Provider Name | CECILIA HOWELL-CANADA M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/14/2005
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Last Update Date | 03/22/2024
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Provider Practice Location Address
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Address Line | 1200 N EAST ST
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City | OLNEY
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State | IL
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Zip | 62450-2432
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Country | US
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Telephone | 618-395-5222
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Fax | 618-395-8552
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Provider Business Mailing Address
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Address Line | 1200 N EAST ST
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City | OLNEY
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State | IL
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Zip | 62450-2432
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Country | US
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Telephone | 618-395-5222
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Fax | 618-395-8552
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 036-136835
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 5749
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License Number State | AK
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 34133
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License Number State | WI
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