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General NPI Number Information
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NPI Number | 1841564275
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Entity Type | Individual
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Provider Name | RANA KANAAN MD
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Gender | Female
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Dates
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Enumeration Date | 03/02/2012
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Last Update Date | 12/16/2024
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Provider Practice Location Address
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Address Line | 1324 LAKELAND HILLS BLVD
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City | LAKELAND
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State | FL
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Zip | 33805-4543
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Country | US
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Telephone | 863-687-1321
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Fax | 863-284-1730
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Provider Business Mailing Address
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Address Line | 370 34TH ST S
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City | ST PETERSBURG
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State | FL
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Zip | 33711-1328
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Country | US
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Telephone | 727-353-3530
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Fax | 727-353-3313
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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 | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | ME130352
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | ME130352
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License Number State | FL
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