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General NPI Number Information
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NPI Number | 1811644313
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Entity Type | Individual
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Provider Name | ADRIANA LILY CICCONE PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 03/04/2022
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Last Update Date | 06/03/2025
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Provider Practice Location Address
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Address Line | 8116 RITCHIE HWY
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City | PASADENA
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State | MD
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Zip | 21122-6916
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Country | US
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Telephone | 443-261-2220
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Fax |
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Provider Business Mailing Address
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Address Line | 9669 SWEET APPLE LN NE
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City | LELAND
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State | NC
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Zip | 28451-6305
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Country | US
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Telephone | 412-726-3236
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT7093
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License Number State | ME
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 30322
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | P21046
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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