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General NPI Number Information
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NPI Number | 1376738351
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Entity Type | Organization
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Legal Business Name | DR. ADAM T KERES LLC.
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Dates
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Enumeration Date | 09/12/2007
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Last Update Date | 12/26/2007
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Provider Practice Location Address
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Address Line | 6300 POPLAR AVE SUITE 103
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City | MEMPHIS
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State | TN
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Zip | 38119-4711
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Country | US
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Telephone | 901-761-1007
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Fax | 901-682-3155
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Provider Business Mailing Address
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Address Line | 6300 POPLAR AVE SUITE 103
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City | MEMPHIS
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State | TN
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Zip | 38119-4711
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Country | US
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Telephone | 901-761-1007
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Fax | 901-682-3155
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Authorized Official
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Title or Position | OWNER
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Name | DR. ADAM TEDMAR KERES
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Credential |
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Telephone | 901-761-1007
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC0000002180
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License Number State | TN
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