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General NPI Number Information
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NPI Number | 1235427006
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Entity Type | Organization
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Legal Business Name | DR. BRAD ADAMS PA
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Dates
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Enumeration Date | 07/14/2011
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Last Update Date | 08/24/2011
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Provider Practice Location Address
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Address Line | 3244 LYNDALE AVE S
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City | MINNEAPOLIS
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State | MN
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Zip | 55408-3635
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Country | US
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Telephone | 612-879-8001
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Fax | 612-879-9070
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Provider Business Mailing Address
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Address Line | 3244 LYNDALE AVE S
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City | MINNEAPOLIS
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State | MN
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Zip | 55408-3635
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Country | US
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Telephone | 612-879-8001
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Fax | 612-879-9070
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Authorized Official
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Title or Position | OWNER
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Name | DR. BRADLEY S ADAMS
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Credential | DC
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Telephone | 612-879-8001
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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 | 2926
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License Number State | MN
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