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General NPI Number Information
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NPI Number | 1174882369
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Entity Type | Organization
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Legal Business Name | JOHN ADAMS, MD PSYCHIATRY PLLC
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Dates
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Enumeration Date | 05/09/2012
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Last Update Date | 05/09/2012
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Provider Practice Location Address
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Address Line | 17720 CORPORATE WOODS DRIVE
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City | SAN ANTONIO
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State | TX
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Zip | 78259
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Country | US
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Telephone | 210-491-9400
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Fax | 210-491-3517
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Provider Business Mailing Address
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Address Line | 1141 NORTH LOOP 1604 EAST # 105-158
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City | SAN ANTONIO
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State | TX
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Zip | 78232
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Country | US
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Telephone | 330-758-4512
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Fax | 330-782-4750
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Authorized Official
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Title or Position | OWNER
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Name | JOHN ADAMS
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Credential | MD
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Telephone | 330-758-4515
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number | M8465
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License Number State | TX
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