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General NPI Number Information
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NPI Number | 1417446865
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Entity Type | Individual
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Provider Name | ADAM WALLACE SINDER M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/01/2018
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Last Update Date | 03/01/2024
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Provider Practice Location Address
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Address Line | 5301 MCAULEY DR
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City | YPSILANTI
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State | MI
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Zip | 48197-1051
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Country | US
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Telephone | 877-336-6307
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Fax | 734-887-8979
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Provider Business Mailing Address
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Address Line | 24 FRANK LLOYD WRIGHT DR STE J2000
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City | ANN ARBOR
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State | MI
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Zip | 48105-9484
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Country | US
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Telephone | 734-747-6722
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Fax | 734-222-3100
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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 | 2080P0202X
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Taxonomy Name | Pediatric Cardiology Physician
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License Number | 4301504373
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 4301504373
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License Number State | MI
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