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General NPI Number Information
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NPI Number | 1508237660
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Entity Type | Individual
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Provider Name | ADAM CHARLES WADDELL MD
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Gender | Male
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Dates
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Enumeration Date | 10/15/2015
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Last Update Date | 11/26/2025
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Provider Practice Location Address
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Address Line | 8900 VAN WYCK EXPY
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City | RICHMOND HILL
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State | NY
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Zip | 11418-2897
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Country | US
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Telephone | 201-675-0284
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Fax |
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Provider Business Mailing Address
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Address Line | 8900 VAN WYCK EXPY FL 5
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City | RICHMOND HILL
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State | NY
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Zip | 11418-2897
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Country | US
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Telephone | 201-675-0284
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Fax | 786-672-6006
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | MD227457
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 2084A2900X
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Taxonomy Name | Neurocritical Care Physician
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License Number | 319202
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 2019-00633
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 109381
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License Number State | GA
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Taxonomy #5
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | MD61624014
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License Number State | WA
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