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General NPI Number Information
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NPI Number | 1720993702
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Entity Type | Individual
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Provider Name | GABRIELLE MARIE CANANT OD
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Gender | Female
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Dates
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Enumeration Date | 08/15/2026
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Last Update Date | 08/15/2026
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Provider Practice Location Address
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Address Line | PSC 482 BOX 1600
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City | FPO
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State | AP
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Zip | 96362-0017
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Country | US
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Telephone | 819-897-1935
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Fax |
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Provider Business Mailing Address
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Address Line | 3611 BRIDGEPOINTE
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City | OWENSBORO
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State | KY
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Zip | 42303-1791
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Country | US
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Telephone |
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 2471DT
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License Number State | KY
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