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General NPI Number Information
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NPI Number | 1497157911
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Entity Type | Individual
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Provider Name | SHERLONDA ADKINS PA-C
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Gender | Female
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Dates
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Enumeration Date | 09/17/2014
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Last Update Date | 01/19/2022
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Provider Practice Location Address
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Address Line | 2070 NORTHBROOK BLVD STE B1
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City | N CHARLESTON
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State | SC
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Zip | 29406-9325
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Country | US
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Telephone | 843-608-8798
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Fax |
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Provider Business Mailing Address
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Address Line | 4909 W LIBERTY PARK CIR
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City | N CHARLESTON
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State | SC
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Zip | 29405-4027
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Country | US
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Telephone | 843-608-8798
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 091
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License Number State | VI
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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 | 2188
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License Number State | SC
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