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General NPI Number Information
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NPI Number | 1174629430
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Entity Type | Individual
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Provider Name | MARY KATHERINE ADAMS PT
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Gender | Female
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Dates
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Enumeration Date | 09/15/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3202 OLD SHELL RD
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City | MOBILE
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State | AL
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Zip | 36607-2505
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Country | US
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Telephone | 251-450-0070
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Fax | 251-450-0072
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Provider Business Mailing Address
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Address Line | 1904 HICKORY KNOT CT
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City | MOBILE
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State | AL
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Zip | 36609-3581
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Country | US
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Telephone | 251-665-0102
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Fax | 251-450-0070
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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 | PTH3787
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License Number State | AL
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