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General NPI Number Information
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NPI Number | 1306026679
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Entity Type | Individual
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Provider Name | TIMOTHY CID ADAMS D.M.D
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Gender | Male
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Dates
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Enumeration Date | 11/05/2007
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Last Update Date | 04/12/2017
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Provider Practice Location Address
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Address Line | 59 DAMONTE RANCH PKWY STE F
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City | RENO
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State | NV
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Zip | 89521-2989
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Country | US
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Telephone | 775-851-2204
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Fax |
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Provider Business Mailing Address
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Address Line | 59 DAMONTE RANCH PKWY STE F
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City | RENO
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State | NV
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Zip | 89521-2989
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Country | US
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Telephone | 775-851-2204
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Fax |
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 56428
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | S7-88C
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License Number State | NV
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