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General NPI Number Information
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NPI Number | 1043612039
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Entity Type | Individual
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Provider Name | ADAM SOYARS P.A.-C
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Gender | Male
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Dates
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Enumeration Date | 09/22/2014
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Last Update Date | 11/01/2022
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Provider Practice Location Address
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Address Line | 100 W HOSACK ST STE 102
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City | BOERNE
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State | TX
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Zip | 78006-2644
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Country | US
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Telephone | 210-510-0213
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Fax |
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Provider Business Mailing Address
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Address Line | 9222 HONEY CREEK DR
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City | SAN ANTONIO
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State | TX
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Zip | 78230-4062
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Country | US
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Telephone |
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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 |
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License Number State |
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