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General NPI Number Information
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NPI Number | 1295049138
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Entity Type | Organization
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Legal Business Name | JOHN P ADAMS MD PA
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Dates
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Enumeration Date | 08/03/2010
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Last Update Date | 08/03/2010
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Provider Practice Location Address
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Address Line | 200 DOCTORS DR
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City | PANAMA CITY
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State | FL
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Zip | 32405-4559
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Country | US
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Telephone | 850-769-1694
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Fax |
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Provider Business Mailing Address
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Address Line | 200 DOCTORS DR
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City | PANAMA CITY
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State | FL
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Zip | 32405-4559
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Country | US
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Telephone | 850-769-1694
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN P ADAMS
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Credential | M.D.
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Telephone | 850-769-1694
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2088P0231X
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Taxonomy Name | Pediatric Urology Physician
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License Number | ME 0011044
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License Number State | FL
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