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General NPI Number Information
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NPI Number | 1669271763
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Entity Type | Individual
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Provider Name | ADRIENNE CANO RN
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Gender | Female
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Dates
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Enumeration Date | 03/11/2025
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Last Update Date | 03/11/2025
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Provider Practice Location Address
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Address Line | 2716 CULLEN ST
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City | FORT WORTH
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State | TX
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Zip | 76107-1304
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Country | US
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Telephone | 817-335-3022
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Fax |
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Provider Business Mailing Address
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Address Line | 301 SW ALSBURY BLVD
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City | BURLESON
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State | TX
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Zip | 76028-3703
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Country | US
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Telephone | 802-310-6457
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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 | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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License Number | 1186714
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License Number State | TX
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