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General NPI Number Information
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NPI Number | 1225589740
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Entity Type | Organization
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Legal Business Name | ADKINS FAMILY PRACTICE, LLC
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Dates
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Enumeration Date | 10/19/2016
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Last Update Date | 10/19/2016
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Provider Practice Location Address
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Address Line | 406 W SAINT LOUIS ST
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City | WEST FRANKFORT
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State | IL
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Zip | 62896-1956
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Country | US
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Telephone | 618-937-0890
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Fax | 618-937-0889
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Provider Business Mailing Address
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Address Line | 406 W SAINT LOUIS ST
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City | WEST FRANKFORT
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State | IL
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Zip | 62896-1956
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Country | US
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Telephone | 618-937-0890
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Fax | 618-937-0889
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | DR. JULIE ADKINS
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Credential | APN
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Telephone | 618-937-0890
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 209002622
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License Number State | IL
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