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General NPI Number Information
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NPI Number | 1457472094
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Entity Type | Individual
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Provider Name | JOHN BLOUNT ADAMS MD
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Gender | Male
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Dates
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Enumeration Date | 04/02/2007
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Last Update Date | 07/29/2024
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Provider Practice Location Address
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Address Line | 2300 MANCHESTER EXPY STE C001
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City | COLUMBUS
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State | GA
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Zip | 31904-6877
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Country | US
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Telephone | 706-324-3243
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Fax | 706-324-3835
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Provider Business Mailing Address
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Address Line | 2300 MANCHESTER EXPY STE 2001A
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City | COLUMBUS
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State | GA
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Zip | 31904-6802
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Country | US
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Telephone | 706-320-3126
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Fax | 706-320-3054
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 060696
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License Number State | GA
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