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General NPI Number Information
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NPI Number | 1730277658
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Entity Type | Individual
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Provider Name | ANTHONY C MCCANTA MD
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Gender | Male
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Dates
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Enumeration Date | 10/10/2006
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Last Update Date | 01/31/2025
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Provider Practice Location Address
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Address Line | 2801 N GANTENBEIN AVE
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City | PORTLAND
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State | OR
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Zip | 97227-1623
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Country | US
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Telephone | 503-413-2042
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Fax |
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Provider Business Mailing Address
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Address Line | 4140 W 190TH ST
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City | TORRANCE
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State | CA
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Zip | 90504-5513
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Country | US
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Telephone | 310-967-1780
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Fax | 866-991-4287
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A91217
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2080P0202X
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Taxonomy Name | Pediatric Cardiology Physician
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License Number | A91217
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 2080P0202X
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Taxonomy Name | Pediatric Cardiology Physician
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License Number | MD223252
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License Number State | OR
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Taxonomy #4
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Taxonomy Code | 207RA0002X
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Taxonomy Name | Adult Congenital Heart Disease Physician
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License Number | A91217
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License Number State | CA
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