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General NPI Number Information
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NPI Number | 1487901369
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Entity Type | Individual
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Provider Name | KYLE DAVID ADAMS ATC
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Gender | Male
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Dates
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Enumeration Date | 08/09/2012
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Last Update Date | 08/20/2016
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Provider Practice Location Address
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Address Line | 1325 MCFARLAND BLVD
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City | NORTHPORT
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State | AL
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Zip | 35476-3270
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Country | US
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Telephone | 205-333-4766
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Fax |
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Provider Business Mailing Address
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Address Line | 7651 HWY 69 N APT 206
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City | NORTHPORT
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State | AL
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Zip | 35473
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Country | US
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Telephone | 678-997-8822
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State |
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