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General NPI Number Information
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NPI Number | 1942280268
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Entity Type | Individual
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Provider Name | THOMAS M CANFIELD MD
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Gender | Male
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Dates
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Enumeration Date | 01/20/2006
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Last Update Date | 09/30/2014
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Provider Practice Location Address
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Address Line | 800 S 3RD ST
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City | MONTROSE
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State | CO
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Zip | 81401-4212
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Country | US
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Telephone | 970-240-7220
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Fax | 970-497-8410
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Provider Business Mailing Address
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Address Line | PO BOX 2085
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City | MONTROSE
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State | CO
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Zip | 81402-2085
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Country | US
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Telephone | 970-240-7220
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Fax | 970-497-8410
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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 | 207ZP0105X
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Taxonomy Name | Clinical Pathology/Laboratory Medicine Physician
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License Number | 15144
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License Number State | CO
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