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General NPI Number Information
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NPI Number | 1508334129
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Entity Type | Organization
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Legal Business Name | ADO INC.
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Dates
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Enumeration Date | 11/13/2018
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Last Update Date | 02/02/2024
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Provider Practice Location Address
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Address Line | 951 N BROAD ST
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City | TAZEWELL
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State | TN
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Zip | 37879-4323
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Country | US
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Telephone | 423-259-8661
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Fax | 423-259-8662
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Provider Business Mailing Address
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Address Line | 951 N BROAD ST
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City | TAZEWELL
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State | TN
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Zip | 37879-4323
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Country | US
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Telephone | 423-259-8661
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Fax | 423-259-8662
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Authorized Official
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Title or Position | CEO
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Name | DANIEL LEWIS MARTIN
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Credential |
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Telephone | 423-259-8661
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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