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General NPI Number Information
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NPI Number | 1235429531
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Entity Type | Individual
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Provider Name | CHRISTOPHER ADAMS EMT-BASIC, 18D
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Gender | Male
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Dates
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Enumeration Date | 04/08/2011
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Last Update Date | 04/16/2018
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Provider Practice Location Address
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Address Line | 108 ETIENVILLE ROAD
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City | FORT BRAGG
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State | NC
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Zip | 28307-3422
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Country | US
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Telephone | 662-316-1812
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Fax |
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Provider Business Mailing Address
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Address Line | HHC, 1ST SWTG(A), D-2609, ADRENNES ST.
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City | FORT BRAGG
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State | NC
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Zip | 28310
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Country | US
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Telephone | 910-432-3566
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Fax |
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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 | 2865M2000X
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Taxonomy Name | Military General Acute Care Hospital
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 146N00000X
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Taxonomy Name | Basic Emergency Medical Technician
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License Number | B2009480
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License Number State | NC
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