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General NPI Number Information
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NPI Number | 1588454508
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Entity Type | Individual
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Provider Name | JOANNA AXELSON CANTWELL RN
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Gender | Female
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Dates
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Enumeration Date | 05/12/2025
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Last Update Date | 05/21/2025
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Provider Practice Location Address
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Address Line | 10 3RD AVE NE STE 200
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City | HICKORY
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State | NC
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Zip | 28601-5044
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Country | US
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Telephone | 828-327-8105
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Fax |
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Provider Business Mailing Address
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Address Line | 123 BLACKBERRY INN RD
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City | WEAVERVILLE
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State | NC
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Zip | 28787-9710
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Country | US
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Telephone | 907-617-8566
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 344262
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 153533
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License Number State | NC
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