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General NPI Number Information
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NPI Number | 1609033646
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Entity Type | Organization
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Legal Business Name | CANAIDE INC
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Dates
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Enumeration Date | 05/19/2008
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Last Update Date | 05/19/2008
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Provider Practice Location Address
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Address Line | 723 STATE ROAD 26
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City | MELROSE
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State | FL
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Zip | 32666-3139
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Country | US
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Telephone | 352-475-5510
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1052
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City | MELROSE
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State | FL
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Zip | 32666-1052
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Country | US
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Telephone | 352-475-5510
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ARTHUR K SEYPURA
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Credential |
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Telephone | 352-475-5510
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251X00000X
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Taxonomy Name | Supports Brokerage Agency
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License Number |
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License Number State |
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