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General NPI Number Information
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NPI Number | 1649995580
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Entity Type | Individual
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Provider Name | JOHN F KANE JR.
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Gender | Male
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Dates
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Enumeration Date | 10/04/2022
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Last Update Date | 10/04/2022
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Provider Practice Location Address
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Address Line | 1818 S RIDGE DR
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60005-3654
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Country | US
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Telephone | 312-827-9215
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Fax |
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Provider Business Mailing Address
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Address Line | 1818 S RIDGE DR
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60005-3654
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Country | US
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Telephone | 312-877-9215
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Fax | 773-685-2416
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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 | 246ZC0007X
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Taxonomy Name | Surgical Assistant
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License Number | 238.000763
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License Number State | IL
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