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General NPI Number Information
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NPI Number | 1316424732
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Entity Type | Individual
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Provider Name | ANGELA CAMMARATA
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Gender | Female
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Dates
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Enumeration Date | 07/27/2018
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Last Update Date | 07/17/2025
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Provider Practice Location Address
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Address Line | 4602 E UNIVERSITY DR STE 150
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City | PHOENIX
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State | AZ
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Zip | 85034-7423
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Country | US
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Telephone | 480-493-3444
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Fax | 720-598-0440
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Provider Business Mailing Address
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Address Line | 2983 OLD LAGUARDO RD E
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City | LEBANON
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State | TN
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Zip | 37087-8965
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Country | US
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Telephone | 615-525-7422
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 24460
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 24460
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License Number State | TN
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