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General NPI Number Information
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NPI Number | 1851599633
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Entity Type | Individual
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Provider Name | JAMES MICHAEL CANOY M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/03/2007
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Last Update Date | 05/22/2018
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Provider Practice Location Address
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Address Line | 45 PINE GROVE AVE
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City | KINGSTON
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State | NY
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Zip | 12401
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Country | US
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Telephone | 845-340-4500
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Fax | 845-340-4501
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Provider Business Mailing Address
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Address Line | PO BOX 2270
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City | KINGSTON
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State | NY
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Zip | 12402-2270
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Country | US
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Telephone | 845-338-7582
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Fax | 845-338-5616
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 270267
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number | 270267
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License Number State | NY
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