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General NPI Number Information
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NPI Number | 1639832322
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Entity Type | Individual
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Provider Name | DANIEL ALEJANDRO CANALES NP
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Gender | Male
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Dates
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Enumeration Date | 10/19/2021
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Last Update Date | 08/26/2024
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Provider Practice Location Address
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Address Line | 1900 W SLAUSON AVE
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City | LOS ANGELES
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State | CA
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Zip | 90047-1129
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Country | US
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Telephone | 323-377-7678
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Fax |
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Provider Business Mailing Address
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Address Line | 8105 CROCKETT BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90001-3524
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Country | US
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Telephone | 323-378-7869
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95030411
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 95257800
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License Number State | CA
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