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General NPI Number Information
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NPI Number | 1033826847
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Entity Type | Individual
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Provider Name | ADRIAN ADAN PA-C
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Gender | Male
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Dates
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Enumeration Date | 11/01/2022
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Last Update Date | 02/25/2025
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Provider Practice Location Address
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Address Line | 4835 LBJ FWY STE 900
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City | DALLAS
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State | TX
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Zip | 75244-6001
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Country | US
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Telephone | 469-420-5544
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Fax |
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Provider Business Mailing Address
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Address Line | 2323 N CENTRAL EXPY
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City | RICHARDSON
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State | TX
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Zip | 75080-2712
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Country | US
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Telephone | 214-453-4533
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 10553
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA18144
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License Number State | TX
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