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General NPI Number Information
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NPI Number | 1093034514
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Entity Type | Individual
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Provider Name | ADAM POWELL D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/24/2010
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Last Update Date | 01/03/2012
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Provider Practice Location Address
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Address Line | 621 HELEN KELLER BLVD SUITE 300
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City | TUSCALOOSA
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State | AL
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Zip | 35404-2902
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Country | US
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Telephone | 205-633-3636
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Fax | 205-633-3672
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Provider Business Mailing Address
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Address Line | 621 HELEN KELLER BLVD SUITE 300
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City | TUSCALOOSA
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State | AL
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Zip | 35404-2902
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Country | US
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Telephone | 205-633-3636
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Fax | 205-633-3672
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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 | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | AL5548
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License Number State | AL
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