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NPI 1396289039

NPI 1396289039 : ADAM JAMES GILBERT PT, DPT, COMT, CSCS : HUNTINGBURG, IN

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General NPI Number Information
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    NPI Number           |    1396289039
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    Entity Type          |    Individual 
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    Provider Name        |    ADAM JAMES GILBERT PT, DPT, COMT, CSCS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    12/15/2016
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    Last Update Date     |    09/18/2025
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Provider Practice Location Address
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    Address Line         |    307 N MAIN ST 
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    City                 |    HUNTINGBURG
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    State                |    IN
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    Zip                  |    47542-1344
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    Country              |    US
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    Telephone            |    812-683-5555
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    Fax                  |    812-683-1111
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Provider Business Mailing Address
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    Address Line         |    PO BOX 225 
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    City                 |    HUNTINGBURG
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    State                |    IN
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    Zip                  |    47542-0225
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    Country              |    US
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    Telephone            |    616-890-7117
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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        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    05011801A
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    License Number State |    IN
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