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General NPI Number Information
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NPI Number | 1164003216
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Entity Type | Individual
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Provider Name | ADAM W CORYA MD
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Gender | Male
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Dates
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Enumeration Date | 04/20/2021
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 340 W 10TH ST
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City | INDIANAPOLIS
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State | IN
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Zip | 46202-3082
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Country | US
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Telephone | 317-274-8157
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Fax |
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Provider Business Mailing Address
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Address Line | 2750 W NORTH AVE
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City | CHICAGO
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State | IL
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Zip | 60647-5247
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Country | US
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Telephone | 312-666-3494
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 125.079343
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License Number State | IL
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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 | 036171958
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License Number State | IL
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