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General NPI Number Information
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NPI Number | 1801356548
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Entity Type | Individual
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Provider Name | MARILIAN A. CANALS RIVERA MD
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Gender | Female
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Dates
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Enumeration Date | 03/20/2019
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 1120 10TH ST E
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City | PALMETTO
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State | FL
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Zip | 34221-4134
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Country | US
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Telephone | 941-847-7903
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Fax | 941-847-7919
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Provider Business Mailing Address
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Address Line | 1120 10TH ST E
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City | PALMETTO
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State | FL
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Zip | 34221-4134
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Country | US
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Telephone | 941-847-7903
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Fax | 941-847-7919
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME152936
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License Number State | FL
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