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NPI 1316185085

NPI 1316185085 : KIM ALAN ADAMSON MD : LOVELOCK, NV

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General NPI Number Information
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    NPI Number           |    1316185085
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    Entity Type          |    Individual 
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    Provider Name        |    KIM ALAN ADAMSON MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    02/03/2009
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    Last Update Date     |    11/07/2013
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Provider Practice Location Address
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    Address Line         |    855 6TH STREET 
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    City                 |    LOVELOCK
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    State                |    NV
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    Zip                  |    89419-0661
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    Country              |    US
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    Telephone            |    775-273-2621
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    Fax                  |    775-273-5183
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Provider Business Mailing Address
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    Address Line         |    PO BOX 661 
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    City                 |    LOVELOCK
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    State                |    NV
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    Zip                  |    89419-0661
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    Country              |    US
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    Telephone            |    775-273-2621
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    Fax                  |    775-273-5183
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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        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    CR1035
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    License Number State |    NV
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