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General NPI Number Information
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NPI Number | 1124849476
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Entity Type | Individual
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Provider Name | ADAM SEXTON PT,DPT
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Gender | Male
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Dates
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Enumeration Date | 10/21/2024
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Last Update Date | 10/21/2024
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Provider Practice Location Address
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Address Line | 57 SOLITUDE DR
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City | SOMERSET
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State | KY
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Zip | 42503-4929
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Country | US
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Telephone | 606-341-4020
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Fax |
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Provider Business Mailing Address
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Address Line | 57 SOLITUDE DR
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City | SOMERSET
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State | KY
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Zip | 42503-4929
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Country | US
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Telephone |
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 007574
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License Number State | KY
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