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General NPI Number Information
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NPI Number | 1477580876
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Entity Type | Individual
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Provider Name | MARK E ADLEN D.O.
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Gender | Male
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Dates
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Enumeration Date | 06/28/2006
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Last Update Date | 09/08/2016
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Provider Practice Location Address
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Address Line | 7300 W CAMINO REAL SUITE 206
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City | BOCA RATON
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State | FL
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Zip | 33433-5512
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Country | US
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Telephone | 561-299-9994
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Fax | 866-587-8241
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Provider Business Mailing Address
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Address Line | 7300 W CAMINO REAL SUITE 206
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City | BOCA RATON
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State | FL
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Zip | 33433-5512
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Country | US
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Telephone | 561-299-9994
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Fax | 866-587-8241
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS-002947L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 27575
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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License Number | OS9102
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License Number State | FL
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