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General NPI Number Information
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NPI Number | 1336541465
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Entity Type | Individual
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Provider Name | ADAM FURMAN
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Gender | Male
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Dates
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Enumeration Date | 09/19/2014
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Last Update Date | 09/19/2014
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Provider Practice Location Address
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Address Line | 9624 US HIGHWAY 19
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City | PORT RICHEY
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State | FL
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Zip | 34668-4642
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Country | US
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Telephone | 727-232-2949
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Fax |
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Provider Business Mailing Address
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Address Line | 3653 NEWCASTLE CT #204
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City | PALM HARBOR
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State | FL
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Zip | 34685-4165
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Country | US
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Telephone |
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPC 4997
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License Number State | FL
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