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General NPI Number Information
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NPI Number | 1720225766
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Entity Type | Individual
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Provider Name | ADRIENNE DOROTHY KANE PA
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Gender | Female
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Dates
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Enumeration Date | 01/13/2009
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 27206 CALAROGA AVE STE 203
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City | HAYWARD
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State | CA
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Zip | 94545-4300
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Country | US
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Telephone | 341-234-0414
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Fax |
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Provider Business Mailing Address
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Address Line | 3130 BALFOUR RD STE D-104
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City | BRENTWOOD
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State | CA
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Zip | 94513-5515
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Country | US
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Telephone |
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 52981
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License Number State | CA
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