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General NPI Number Information
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NPI Number | 1194887794
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Entity Type | Individual
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Provider Name | ELISA ANN ADAMS D.C.
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Gender | Female
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Dates
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Enumeration Date | 12/14/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 16 CLARKE ST SUITE 16
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City | LEXINGTON
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State | MA
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Zip | 02421-4988
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Country | US
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Telephone | 781-674-2500
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Fax | 978-369-8912
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Provider Business Mailing Address
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Address Line | 143 ELSINORE ST
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City | CONCORD
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State | MA
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Zip | 01742-2315
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Country | US
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Telephone | 978-369-1881
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Fax | 978-369-8912
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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 | 776
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License Number State | MA
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