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General NPI Number Information
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NPI Number | 1235477555
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Entity Type | Organization
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Legal Business Name | JENNY ADAMS, PA
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Dates
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Enumeration Date | 01/21/2013
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Last Update Date | 09/18/2013
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Provider Practice Location Address
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Address Line | 3435 PINE RIDGE RD SUITE 102
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City | NAPLES
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State | FL
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Zip | 34109-3828
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Country | US
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Telephone | 239-300-9703
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Fax | 239-206-8263
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Provider Business Mailing Address
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Address Line | 3435 PINE RIDGE RD SUITE 102
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City | NAPLES
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State | FL
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Zip | 34109-3828
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Country | US
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Telephone | 239-260-7476
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Fax | 239-260-7608
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JENNY ADAMS
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Credential | DPM
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Telephone | 239-260-7476
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 3507
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License Number State | FL
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