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General NPI Number Information
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NPI Number | 1306219688
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Entity Type | Individual
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Provider Name | CAROLINE MURRAY CANNON NP-C
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Gender | Female
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Dates
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Enumeration Date | 11/09/2015
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Last Update Date | 03/10/2025
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Provider Practice Location Address
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Address Line | 9905 MEDICAL CENTER DR STE 200
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City | ROCKVILLE
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State | MD
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Zip | 20850-6535
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Country | US
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Telephone | 301-424-6231
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Fax | 301-294-4648
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Provider Business Mailing Address
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Address Line | 9905 MEDICAL CENTER DR STE 200
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City | ROCKVILLE
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State | MD
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Zip | 20850-6535
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Country | US
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Telephone | 301-424-6231
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Fax | 301-294-4648
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | RN1016495
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | RN1016495
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License Number State | DC
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