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General NPI Number Information
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NPI Number | 1154834554
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Entity Type | Individual
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Provider Name | KURTIS GRANT ADAMS PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 11/08/2017
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Last Update Date | 11/08/2017
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Provider Practice Location Address
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Address Line | 6508 FISHER HILL RD
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City | CANANDAIGUA
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State | NY
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Zip | 14424-9333
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Country | US
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Telephone | 585-474-4834
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Fax |
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Provider Business Mailing Address
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Address Line | 6508 FISHER HILL RD
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City | CANANDAIGUA
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State | NY
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Zip | 14424-9333
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Country | US
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Telephone | 585-474-4834
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PTL.0014666
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 60733725
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License Number State | WA
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