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General NPI Number Information
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NPI Number | 1346345287
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Entity Type | Organization
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Legal Business Name | ADAMS PHYSICAL THERAPY SERVICES, INC.
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Dates
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Enumeration Date | 09/14/2006
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Last Update Date | 02/02/2009
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Provider Practice Location Address
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Address Line | 111 W NORTH ST
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City | PORTLAND
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State | IN
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Zip | 47371-1153
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Country | US
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Telephone | 260-726-6828
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Fax | 260-726-2257
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Provider Business Mailing Address
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Address Line | PO BOX 1085
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City | PORTLAND
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State | IN
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Zip | 47371-3185
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Country | US
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Telephone | 260-726-6828
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Fax | 260-726-2257
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | ROY W. ADAMS
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Credential | P.T.
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Telephone | 260-726-6828
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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 | 05001458A
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License Number State | IN
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