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General NPI Number Information
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NPI Number | 1942206073
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Entity Type | Individual
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Provider Name | PAUL J. CANGEMI M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/23/2005
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Last Update Date | 01/12/2009
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Provider Practice Location Address
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Address Line | 10 N LOCUST ST STE 1B
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City | OXFORD
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State | OH
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Zip | 45056-1182
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Country | US
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Telephone | 513-524-1100
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Fax | 513-524-0085
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Provider Business Mailing Address
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Address Line | 174 STONE CREEK DR
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City | OXFORD
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State | OH
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Zip | 45056-9758
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Country | US
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Telephone | 513-523-4482
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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 | 207XS0114X
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Taxonomy Name | Adult Reconstructive Orthopaedic Surgery Physician
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License Number | 35-036511
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License Number State | OH
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