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General NPI Number Information
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NPI Number | 1285655605
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Entity Type | Individual
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Provider Name | DEAN ADKINS PA
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Gender | Male
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Dates
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Enumeration Date | 07/21/2006
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Last Update Date | 10/08/2009
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Provider Practice Location Address
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Address Line | 830 S GLOSTER ST
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City | TUPELO
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State | MS
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Zip | 38801-4934
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Country | US
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Telephone | 866-754-3852
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Fax | 205-313-5245
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Provider Business Mailing Address
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Address Line | 108 CEDAR GREEN DR
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City | CANTON
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State | MS
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Zip | 39046-3367
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Country | US
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Telephone | 601-826-8923
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Fax | 205-313-5245
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA065
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | PA00065
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License Number State | MS
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