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General NPI Number Information
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NPI Number | 1033308689
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Entity Type | Individual
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Provider Name | TODD S ADAMS DDS
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Gender | Male
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Dates
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Enumeration Date | 10/19/2007
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Last Update Date | 09/09/2024
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Provider Practice Location Address
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Address Line | 4702 N PENNGROVE WAY STE 100
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City | MERIDIAN
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State | ID
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Zip | 83646-7449
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Country | US
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Telephone | 208-938-1825
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Fax | 208-938-5763
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Provider Business Mailing Address
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Address Line | 4702 N PENNGROVE WAY STE 100
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City | MERIDIAN
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State | ID
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Zip | 83646-7449
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Country | US
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Telephone | 208-938-1825
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Fax | 208-938-5763
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 13196763-9921
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 56025
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | D-5485
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License Number State | ID
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