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General NPI Number Information
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NPI Number | 1164651345
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Entity Type | Individual
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Provider Name | JOSH A ADAMS D.C.
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Gender | Male
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Dates
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Enumeration Date | 07/08/2009
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Last Update Date | 07/29/2009
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Provider Practice Location Address
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Address Line | 112 E 5TH ST
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City | BENTON
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State | KY
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Zip | 42025-1118
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Country | US
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Telephone | 270-252-5840
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Fax |
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Provider Business Mailing Address
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Address Line | 5153 US HIGHWAY 68 W
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City | BENTON
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State | KY
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Zip | 42025-6661
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Country | US
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Telephone | 270-252-5840
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 5194
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License Number State | KY
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