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General NPI Number Information
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NPI Number | 1154101236
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Entity Type | Individual
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Provider Name | WADE CUTCHINS ADAMS PA
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Gender | Male
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Dates
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Enumeration Date | 10/05/2023
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 10475 CENTURION PKWY N STE 220
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City | JACKSONVILLE
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State | FL
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Zip | 32256-5004
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Country | US
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Telephone | 904-634-0640
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Fax | 904-634-0203
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Provider Business Mailing Address
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Address Line | 6800 SOUTHPOINT PKWY STE 300
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City | JACKSONVILLE
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State | FL
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Zip | 32216-8203
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Country | US
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Telephone | 623-241-8678
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Fax | 623-544-5531
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA9118292
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License Number State | FL
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