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General NPI Number Information
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NPI Number | 1851456891
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Entity Type | Individual
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Provider Name | DENNIS RICHARD KANE MD
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Gender | Male
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Dates
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Enumeration Date | 12/27/2006
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Last Update Date | 03/16/2022
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Provider Practice Location Address
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Address Line | 143 CANAL ST STE 500
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City | POOLER
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State | GA
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Zip | 31322-6017
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Country | US
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Telephone | 912-748-4527
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Fax | 912-748-9016
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Provider Business Mailing Address
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Address Line | 143 CANAL ST STE 500
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City | POOLER
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State | GA
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Zip | 31322-6017
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Country | US
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Telephone | 912-748-4527
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Fax | 912-748-9016
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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 | 0101048427
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | MD30330
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | D0051613
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 88922
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License Number State | GA
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