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Individual
DR. FADI KANAN
Active
Individual
DR. FADI KANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2056
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1006352
—
VT
01
—
1327253
UNITED CONCORDIA
VT
01
—
58141
BCBS
VT
Enumeration date
08/10/2006
Last updated
07/08/2007
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