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General NPI Number Information
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NPI Number | 1578013207
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Entity Type | Individual
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Provider Name | JOSHUA CALEB CANTER ND, LAC
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Gender | Male
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Dates
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Enumeration Date | 10/05/2016
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Last Update Date | 01/25/2025
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Provider Practice Location Address
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Address Line | 2305 SE 50TH AVE STE 200
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City | PORTLAND
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State | OR
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Zip | 97215-3853
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Country | US
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Telephone | 503-765-5711
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Fax | 971-350-3060
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Provider Business Mailing Address
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Address Line | 2305 SE 50TH AVE SUITE 200
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City | PORTLAND
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State | OR
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Zip | 97215-3853
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Country | US
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Telephone | 503-765-5711
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Fax | 971-350-3060
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC179284
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number | 4024
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License Number State | OR
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