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General NPI Number Information
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NPI Number | 1053762336
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Entity Type | Individual
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Provider Name | ADAM LEES WOHL DDS
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Gender | Male
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Dates
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Enumeration Date | 06/28/2016
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Last Update Date | 02/23/2023
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Provider Practice Location Address
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Address Line | 680 BRIARCLIFF AVE
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City | OAK RIDGE
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State | TN
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Zip | 37830
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Country | US
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Telephone | 865-483-2356
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Fax |
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Provider Business Mailing Address
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Address Line | 680 BRIARCLIFF AVE
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City | OAK RIDGE
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State | TN
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Zip | 37830-6938
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Country | US
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Telephone | 865-483-2356
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 10256
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License Number State | TN
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