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General NPI Number Information
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NPI Number | 1124733050
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Entity Type | Individual
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Provider Name | ADRIANNA MARIA CANNONE PA-C
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Gender | Female
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Dates
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Enumeration Date | 01/16/2023
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 40 W CALDWELL ST STE 100
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City | MT JULIET
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State | TN
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Zip | 37122-3180
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Country | US
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Telephone | 615-773-2712
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Fax | 615-773-2707
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Provider Business Mailing Address
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Address Line | 40 W CALDWELL ST STE 100
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City | MOUNT JULIET
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State | TN
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Zip | 37122-3180
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Country | US
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Telephone | 615-773-2712
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Fax | 615-773-2707
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 5383
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License Number State | TN
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