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General NPI Number Information
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NPI Number | 1053766493
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Entity Type | Organization
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Legal Business Name | JACOB R ADAMS DO INC
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Dates
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Enumeration Date | 05/03/2016
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Last Update Date | 01/09/2020
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Provider Practice Location Address
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Address Line | 180 ROWLAND WAY
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City | NOVATO
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State | CA
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Zip | 94945-5009
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Country | US
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Telephone | 209-956-7725
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Fax |
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Provider Business Mailing Address
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Address Line | 5 CLOUD VIEW TRL
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City | SAUSALITO
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State | CA
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Zip | 94965-2061
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Country | US
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Telephone | 209-956-7725
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JACOB R ADAMS
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Credential | DO
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Telephone | 209-956-7725
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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