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General NPI Number Information
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NPI Number | 1003327685
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Entity Type | Individual
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Provider Name | ROBERT WILLIAM ADAMS MSN, RN, CDCES, CCHW
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Gender | Male
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Dates
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Enumeration Date | 10/23/2017
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Last Update Date | 06/18/2024
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Provider Practice Location Address
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Address Line | 4101 INDIAN SCHOOL RD NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87110-3988
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Country | US
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Telephone | 505-256-6718
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Fax | 505-256-6844
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Provider Business Mailing Address
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Address Line | 4101 INDIAN SCHOOL RD NE STE 225
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City | ALBUQUERQUE
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State | NM
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Zip | 87110-4072
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Country | US
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Telephone | 505-256-6718
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Fax | 505-256-6844
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number | G-1404
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 163WD0400X
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Taxonomy Name | Diabetes Educator Registered Nurse
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License Number | 70023
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License Number State | NM
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