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General NPI Number Information
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NPI Number | 1124375969
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Entity Type | Individual
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Provider Name | ADELINA G. MEADOWS MD
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Gender | Female
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Dates
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Enumeration Date | 08/11/2012
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Last Update Date | 03/18/2024
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Provider Practice Location Address
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Address Line | 706 TURTLE CREEK DR
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City | TYLER
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State | TX
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Zip | 75701-1833
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Country | US
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Telephone | 903-595-3942
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 846098
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City | DALLAS
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State | TX
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Zip | 75284-6098
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Country | US
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Telephone | 903-324-6400
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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 | 2080P0205X
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Taxonomy Name | Pediatric Endocrinology Physician
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License Number | 01074060A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 2080P0205X
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Taxonomy Name | Pediatric Endocrinology Physician
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License Number | N8818
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License Number State | TX
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