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NPI 1295693646

NPI 1295693646 : CHARLES HUNTER ADAMS : TULSA, OK

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General NPI Number Information
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    NPI Number           |    1295693646
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    Entity Type          |    Individual 
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    Provider Name        |    CHARLES HUNTER ADAMS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    01/14/2026
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    Last Update Date     |    01/14/2026
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Provider Practice Location Address
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    Address Line         |    4802 S 109TH EAST AVE 
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    City                 |    TULSA
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    State                |    OK
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    Zip                  |    74146-5822
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    Country              |    US
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    Telephone            |    918-392-1513
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    Fax                  |    918-392-1590
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Provider Business Mailing Address
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    Address Line         |    4802 S 109TH EAST AVE 
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    City                 |    TULSA
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    State                |    OK
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    Zip                  |    74146-5822
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    Country              |    US
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    Telephone            |    918-392-1513
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    Fax                  |    918-392-1590
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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        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    PTL.0019944
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    License Number State |    CO
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