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General NPI Number Information
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NPI Number | 1356615603
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Entity Type | Organization
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Legal Business Name | M. ADAM, MD PA
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Dates
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Enumeration Date | 03/05/2012
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Last Update Date | 03/05/2012
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Provider Practice Location Address
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Address Line | 1351 PINE ST
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City | NAPLES
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State | FL
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Zip | 34104-4260
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Country | US
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Telephone | 239-304-9267
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Fax |
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Provider Business Mailing Address
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Address Line | 1351 PINE ST
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City | NAPLES
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State | FL
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Zip | 34104-4260
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Country | US
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Telephone | 239-304-9267
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MAHMOUD H ADAM
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Credential | MD
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Telephone | 239-304-9267
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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