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NPI 1508206103

NPI 1508206103 : ADAM W JAMES PT : BELTSVILLE, MD

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General NPI Number Information
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    NPI Number           |    1508206103
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    Entity Type          |    Individual 
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    Provider Name        |    ADAM W JAMES PT
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/27/2013
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    Last Update Date     |    10/29/2018
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Provider Practice Location Address
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    Address Line         |    4600 POWDER MILL RD STE 150 
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    City                 |    BELTSVILLE
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    State                |    MD
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    Zip                  |    20705-2685
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    Country              |    US
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    Telephone            |    240-793-1278
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    21 NEWPORT AVE 
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    City                 |    NEW CASTLE
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    State                |    DE
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    Zip                  |    19720-1162
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    Country              |    US
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    Telephone            |    240-793-1278
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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        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    24516
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    License Number State |    MD
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