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General NPI Number Information
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NPI Number | 1578534566
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Entity Type | Individual
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Provider Name | EDWARD JOSEPH KANE JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/30/2006
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Last Update Date | 03/10/2020
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Provider Practice Location Address
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Address Line | 10666 N TORREY PINES RD
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City | LA JOLLA
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State | CA
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Zip | 92037-1027
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Country | US
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Telephone | 858-554-9100
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Fax | 858-554-6748
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Provider Business Mailing Address
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Address Line | 10790 RANCHO BERNARDO RD
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City | SAN DIEGO
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State | CA
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Zip | 92127-5705
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Country | US
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Telephone | 858-554-9100
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Fax | 858-554-6748
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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 | 171000000X
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Taxonomy Name | Military Health Care Provider
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License Number | G87558
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207ZC0500X
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Taxonomy Name | Cytopathology Physician
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License Number | G87558
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | G87558
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License Number State | CA
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