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General NPI Number Information
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NPI Number | 1700078201
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Entity Type | Individual
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Provider Name | EDUARDO SALDANA CANTU PHD
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Gender | Male
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Dates
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Enumeration Date | 08/17/2007
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Last Update Date | 08/17/2007
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Provider Practice Location Address
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Address Line | 3411 N 16TH ST APT 2050
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City | PHOENIX
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State | AZ
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Zip | 85016-7174
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Country | US
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Telephone | 602-265-1322
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Fax |
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Provider Business Mailing Address
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Address Line | 3411 N 16TH ST APT 2050
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City | PHOENIX
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State | AZ
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Zip | 85016-7174
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Country | US
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Telephone | 602-265-1322
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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 | 207SC0300X
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Taxonomy Name | Clinical Cytogenetics Physician
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License Number | CANTUE1
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License Number State | NY
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