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General NPI Number Information
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NPI Number | 1972802254
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Entity Type | Individual
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Provider Name | ERIC MICHAEL CANADAY D.O.
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Gender | Male
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Dates
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Enumeration Date | 03/25/2011
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Last Update Date | 11/03/2025
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Provider Practice Location Address
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Address Line | 2488 E 81ST ST STE 2000
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City | TULSA
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State | OK
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Zip | 74137-4224
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Country | US
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Telephone | 918-592-9020
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Fax |
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Provider Business Mailing Address
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Address Line | 7536 N 200TH EAST AVE
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City | OWASSO
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State | OK
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Zip | 74055-8217
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Country | US
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Telephone | 918-853-4916
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 5535
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | E-13441
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License Number State | AR
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 5535
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License Number State | OK
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Taxonomy #4
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 2011020294
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License Number State | MO
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Taxonomy #5
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | E-13441
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License Number State | AR
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Taxonomy #6
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 05-51964
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License Number State | KS
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Taxonomy #7
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2025044563
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License Number State | MO
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Taxonomy #8
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | W1394
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License Number State | TX
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