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General NPI Number Information
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NPI Number | 1023510310
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Entity Type | Individual
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Provider Name | SHEAMUS P ADAIR LMT
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Gender | Male
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Dates
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Enumeration Date | 03/02/2018
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Last Update Date | 11/13/2024
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Provider Practice Location Address
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Address Line | 810 S COLONY WAY
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City | PALMER
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State | AK
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Zip | 99645-6980
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Country | US
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Telephone | 907-746-6980
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Fax |
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Provider Business Mailing Address
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Address Line | 1221 S ROGERS CIR APT G14
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City | WASILLA
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State | AK
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Zip | 99654-7298
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Country | US
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Telephone | 907-315-4901
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 113354
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License Number State | AK
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