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General NPI Number Information
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NPI Number | 1255850897
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Entity Type | Individual
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Provider Name | TOMMIE E ADKINS
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Gender | Male
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Dates
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Enumeration Date | 09/14/2017
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Last Update Date | 01/28/2025
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Provider Practice Location Address
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Address Line | 1723 PUCKER STREET DR
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City | NILES
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State | MI
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Zip | 49120-1192
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Country | US
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Telephone | 269-539-4160
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Fax | 877-392-7626
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Provider Business Mailing Address
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Address Line | PO BOX 862
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City | NILES
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State | MI
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Zip | 49120-0862
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Country | US
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Telephone | 877-392-7626
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Fax | 269-310-5936
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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 | 374U00000X
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Taxonomy Name | Home Health Aide
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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 | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 372500000X
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Taxonomy Name | Chore Provider
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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