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General NPI Number Information
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NPI Number | 1639381247
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Entity Type | Organization
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Legal Business Name | ANTONIO CANO PLLC
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 08/20/2007
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Provider Practice Location Address
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Address Line | 5005 COLLINS AVE STE 1516
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City | MIAMI BEACH
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State | FL
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Zip | 33140-2753
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Country | US
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Telephone | 305-807-1049
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Fax | 305-447-9470
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Provider Business Mailing Address
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Address Line | PO BOX 402585
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City | MIAMI BEACH
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State | FL
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Zip | 33140-0585
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Country | US
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Telephone | 305-807-1049
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Fax | 305-447-9470
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANTONIO CANO
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Credential | M.D.
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Telephone | 305-807-1049
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME92396
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License Number State | FL
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