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General NPI Number Information
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NPI Number | 1184790842
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Entity Type | Individual
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Provider Name | STUART ADAMS O.D. PC
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Gender | Male
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Dates
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Enumeration Date | 11/27/2006
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Last Update Date | 07/15/2020
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Provider Practice Location Address
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Address Line | 115 W RIVERSIDE DR
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City | PARKER
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State | AZ
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Zip | 85344-5220
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Country | US
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Telephone | 928-669-2497
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Fax | 928-669-8424
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Provider Business Mailing Address
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Address Line | 115 W RIVERSIDE DR
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City | PARKER
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State | AZ
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Zip | 85344-5220
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Country | US
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Telephone | 928-669-2497
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Fax | 928-669-8424
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | AZ784
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License Number State | AZ
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