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General NPI Number Information
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NPI Number | 1417282286
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Entity Type | Individual
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Provider Name | PATRICIA V. ADEM MD
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Gender | Female
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Dates
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Enumeration Date | 10/12/2009
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Last Update Date | 06/01/2020
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Provider Practice Location Address
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Address Line | 327 E 64TH ST
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City | NEW YORK
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State | NY
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Zip | 10065-6704
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Country | US
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Telephone | 646-608-1387
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Fax |
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Provider Business Mailing Address
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Address Line | 100 CHAPEL HILL RD
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City | LINCOLN PARK
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State | NJ
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Zip | 07035-1922
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Country | US
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Telephone | 630-664-1776
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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 | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 275571
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License Number State | NY
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