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General NPI Number Information
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NPI Number | 1114155678
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Entity Type | Individual
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Provider Name | JENNY WAWRZYNIAK ADAMS D.P.M.
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Gender | Female
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Dates
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Enumeration Date | 06/23/2009
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Last Update Date | 09/18/2013
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Provider Practice Location Address
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Address Line | 3435 PINE RIDGE RD SUITE 102
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City | NAPLES
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State | FL
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Zip | 34109-3828
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Country | US
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Telephone | 239-300-9703
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Fax | 239-206-8263
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Provider Business Mailing Address
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Address Line | 3435 PINE RIDGE RD SUITE 102
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City | NAPLES
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State | FL
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Zip | 34109-3828
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Country | US
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Telephone | 239-260-7476
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Fax | 239-260-7608
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | PR161
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | PO3507
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License Number State | FL
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