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General NPI Number Information
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NPI Number | 1871345579
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Entity Type | Individual
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Provider Name | NATHALIE CANY DMD
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Gender | Female
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Dates
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Enumeration Date | 04/04/2024
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Last Update Date | 06/01/2024
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Provider Practice Location Address
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Address Line | 7175 W LAKE MEAD BLVD STE 110
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City | LAS VEGAS
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State | NV
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Zip | 89128-1303
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Country | US
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Telephone | 702-228-9911
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Fax |
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Provider Business Mailing Address
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Address Line | 6698 CATOCTIN AVE
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City | LAS VEGAS
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State | NV
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Zip | 89139-5361
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Country | US
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Telephone | 702-927-0832
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 8006
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License Number State | NV
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