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General NPI Number Information
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NPI Number | 1811251366
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Entity Type | Individual
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Provider Name | BERNARDO FRANSSEN CANOVAS M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/29/2012
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 125 DOUGHTY ST STE 660
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City | CHARLESTON
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State | SC
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Zip | 29403-5731
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Country | US
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Telephone | 843-577-7550
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Fax | 843-853-5588
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Provider Business Mailing Address
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Address Line | PO BOX 751649
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City | CHARLOTTE
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State | NC
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Zip | 28275-1649
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Country | US
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Telephone | 888-472-0043
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Fax | 843-724-2440
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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 | 2086X0206X
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Taxonomy Name | Surgical Oncology Physician
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License Number | 51495
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License Number State | SC
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