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General NPI Number Information
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NPI Number | 1326926205
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Entity Type | Individual
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Provider Name | ADAM WEDER PHARMD, RPH
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Gender | Male
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Dates
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Enumeration Date | 08/26/2025
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Last Update Date | 08/26/2025
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Provider Practice Location Address
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Address Line | 508 N MAIN ST
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City | CARROLLTON
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State | IL
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Zip | 62016-1027
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Country | US
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Telephone | 217-942-3427
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Fax | 217-942-3130
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Provider Business Mailing Address
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Address Line | 508 N MAIN ST
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City | CARROLLTON
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State | IL
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Zip | 62016-1027
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Country | US
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Telephone | 217-942-3427
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Fax | 217-942-3130
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 051.301905
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License Number State | IL
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