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General NPI Number Information
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NPI Number | 1164592366
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Entity Type | Individual
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Provider Name | HENRY M ADAM MD
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Gender | Male
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3415 BAINBRIDGE AVE CHILDREN'S HOSPITAL AT MONTEFIORE
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City | BRONX
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State | NY
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Zip | 10467
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Country | US
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Telephone | 718-920-2605
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Fax | 718-944-5908
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Provider Business Mailing Address
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Address Line | 2575 PALISADE AVE APT. 9C
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City | BRONX
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State | NY
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Zip | 10463-6101
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Country | US
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Telephone | 718-920-2605
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Fax | 718-944-5908
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 145921
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License Number State | NY
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