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NPI 1790239259

NPI 1790239259 : CYNTHIA CADWELL MSN RN NP CNS : SAN DIEGO, CA

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General NPI Number Information
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    NPI Number           |    1790239259
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    Entity Type          |    Individual 
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    Provider Name        |    CYNTHIA CADWELL MSN RN NP CNS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/12/2016
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    Last Update Date     |    08/12/2025
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Provider Practice Location Address
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    Address Line         |    4927 LILLIAN ST 
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    City                 |    SAN DIEGO
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    State                |    CA
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    Zip                  |    92110-1541
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    Country              |    US
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    Telephone            |    885-877-5737
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4927 LILLIAN ST 
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    City                 |    SAN DIEGO
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    State                |    CA
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    Zip                  |    92110-1541
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    Country              |    US
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    Telephone            |    885-877-5737
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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       |    305674
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    364S00000X
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    Taxonomy Name        |    Clinical Nurse Specialist
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    License Number       |    1726
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    License Number State |    HI
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Taxonomy #3
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    Taxonomy Code        |    363LA2200X
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    Taxonomy Name        |    Adult Health Nurse Practitioner
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    License Number       |    10471
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    License Number State |    CA
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