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General NPI Number Information
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NPI Number | 1861931222
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Entity Type | Individual
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Provider Name | RAQUEL MARIE CANALE NP
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Gender | Female
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Dates
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Enumeration Date | 02/18/2017
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Last Update Date | 02/12/2021
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Provider Practice Location Address
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Address Line | 400 E MAIN ST
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City | MOUNT KISCO
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State | NY
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Zip | 10549-3477
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Country | US
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Telephone | 914-666-1200
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Fax |
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Provider Business Mailing Address
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Address Line | 3245 LUCERNE ST
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City | BRONX
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State | NY
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Zip | 10465-1216
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Country | US
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Telephone | 646-265-4859
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Fax |
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 635300
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | F431264
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License Number State | NY
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