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General NPI Number Information
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NPI Number | 1770551640
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Entity Type | Individual
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Provider Name | DOMENIC MICHAEL CANONICO M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/08/2006
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Last Update Date | 07/14/2015
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Provider Practice Location Address
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Address Line | 507 NW ATLANTIC ST
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City | TULLAHOMA
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State | TN
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Zip | 37388-3504
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Country | US
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Telephone | 931-393-4332
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Fax | 931-393-2304
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Provider Business Mailing Address
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Address Line | 507 NW ATLANTIC ST
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City | TULLAHOMA
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State | TN
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Zip | 37388-3504
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Country | US
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Telephone | 931-393-4332
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Fax | 931-393-2304
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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 | 207YX0007X
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Taxonomy Name | Plastic Surgery within the Head & Neck (Otolaryngology) Physician
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License Number | 18819
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License Number State | TN
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