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General NPI Number Information
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NPI Number | 1578862892
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Entity Type | Individual
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Provider Name | MARVIN V.H. KANTER M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/25/2011
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Last Update Date | 06/17/2019
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Provider Practice Location Address
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Address Line | 5985 TOPANGA CANYON BLVD
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City | WOODLAND HILLS
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State | CA
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Zip | 91367
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Country | US
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Telephone | 818-579-2326
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Fax |
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Provider Business Mailing Address
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Address Line | 5985 TOPANGA CANYON BLVD
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City | WOODLAND HILLS
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State | CA
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Zip | 91367-3623
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Country | US
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Telephone | 818-579-2326
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Fax |
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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 | G9009
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number |
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License Number State |
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