Cavendish, the British standout with the Omega Pharma-Quick Step team, clocked three hours 56 minutes, three seconds over the mostly flat 168-kilometre leg from Mola di Bari to Margherita di Savoia.
Elia Viviani, an Italian with Cannondale, crossed second, and Matthew Goss, an Australian with Orica-GreenEdge, was third, both with the same time as Cavendish.
It was the 12th Giro stage win of Cavendish's career and his 99th victory overall. The Isle of Man rider also won this year's opening stage in Naples.
Defending champion Ryder Hesjedal of Victoria was 52nd in the stage and remained fifth overall, 34 seconds behind Paolini.
Stage 7 Friday is a hilly 176-kilometre leg from San Salvo to Pescara.
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