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General NPI Number Information
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NPI Number | 1497087597
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Entity Type | Individual
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Provider Name | SUSAN R ADKINS PA-C
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Gender | Female
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Dates
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Enumeration Date | 02/01/2010
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Last Update Date | 12/15/2020
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Provider Practice Location Address
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Address Line | 227 PENNSYLVANIA 100
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City | ALLENTOWN
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State | PA
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Zip | 18106
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Country | US
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Telephone | 160-336-1000
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Fax |
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Provider Business Mailing Address
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Address Line | THE HEALING ARTS CENTER, #2 617 FRANKLIN
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City | BERLIN
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State | MD
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Zip | 21811-1440
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Country | US
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Telephone | 215-313-2434
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Fax | 302-856-2330
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | MA054229
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | OA002472
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | C5-0001087
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License Number State | DE
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Taxonomy #4
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | C07173
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License Number State | MD
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