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General NPI Number Information
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NPI Number | 1225111891
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Entity Type | Organization
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Legal Business Name | ADAMS ORAL SURGERY INC
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Dates
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Enumeration Date | 10/24/2006
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Last Update Date | 07/31/2007
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Provider Practice Location Address
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Address Line | 455 SOUTH WASHINGTON ST #21
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City | GETTYSBURG
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State | PA
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Zip | 17325
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Country | US
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Telephone | 717-337-3232
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Fax | 717-337-1032
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Provider Business Mailing Address
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Address Line | 455 SOUTH WASHINGTON ST #21
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City | GETTYSBURG
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State | PA
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Zip | 17325
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Country | US
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Telephone | 717-337-3232
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Fax | 717-337-1032
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. JEANETTE SCHEIVERT
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Credential |
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Telephone | 717-637-5196
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | DS030876L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | DS036801
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | DS022153L
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License Number State | PA
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