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General NPI Number Information
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NPI Number | 1164847372
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Entity Type | Individual
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Provider Name | ELIZABETH A ADAMS NP
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Gender | Female
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Dates
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Enumeration Date | 02/25/2014
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Last Update Date | 08/30/2024
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Provider Practice Location Address
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Address Line | 3512 STELLHORN RD
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City | FORT WAYNE
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State | IN
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Zip | 46815-4631
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Country | US
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Telephone | 260-483-9081
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Fax |
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Provider Business Mailing Address
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Address Line | 3512 STELLHORN RD
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City | FORT WAYNE
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State | IN
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Zip | 46815-4631
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Country | US
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Telephone | 260-483-9081
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 28184531A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 363LC0200X
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Taxonomy Name | Critical Care Medicine Nurse Practitioner
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License Number | 17556
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 363LC0200X
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Taxonomy Name | Critical Care Medicine Nurse Practitioner
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License Number | 2290922
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License Number State | MA
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Taxonomy #4
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Taxonomy Code | 363LC0200X
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Taxonomy Name | Critical Care Medicine Nurse Practitioner
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License Number | 4704327849
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License Number State | MI
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Taxonomy #5
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Taxonomy Code | 363LC0200X
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Taxonomy Name | Critical Care Medicine Nurse Practitioner
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License Number | 71009495A
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License Number State | IN
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Taxonomy #6
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 71009495A
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License Number State | IN
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