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General NPI Number Information
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NPI Number | 1154381994
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Entity Type | Individual
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Provider Name | DONNA RAE ADAMS MD
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Gender | Female
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Dates
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Enumeration Date | 03/24/2006
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Last Update Date | 05/30/2019
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Provider Practice Location Address
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Address Line | 2201 LEXINGTON AVE
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City | ASHLAND
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State | KY
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Zip | 41101-2843
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Country | US
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Telephone | 606-327-4000
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Fax | 606-327-7425
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Provider Business Mailing Address
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Address Line | 7719 GRANDVIEW LAKE RD
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City | ASHLAND
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State | KY
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Zip | 41102-9057
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Country | US
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Telephone | 606-928-9993
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Fax | 606-928-9993
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 21579
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME140280
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 40292
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License Number State | KY
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