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General NPI Number Information
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NPI Number | 1497150312
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Entity Type | Organization
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Legal Business Name | DR. MOFFAT D. ADAMS JR., DPM PLLC
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Dates
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Enumeration Date | 11/04/2014
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Last Update Date | 01/04/2024
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Provider Practice Location Address
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Address Line | 16607 BLANCO RD, SUITE 12205
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City | SAN ANTONIO
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State | TX
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Zip | 78232
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Country | US
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Telephone | 210-497-4642
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Fax | 210-314-1375
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Provider Business Mailing Address
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Address Line | 16607 BLANCO RD, SUITE 12205
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City | SAN ANTONIO
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State | TX
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Zip | 78232
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Country | US
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Telephone | 210-497-4642
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Fax | 210-314-1375
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MOFFATT DAVID ADAMS JR.
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Credential | DPM
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Telephone | 210-497-4642
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 1845
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License Number State | TX
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