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General NPI Number Information
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NPI Number | 1518257468
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Entity Type | Individual
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Provider Name | ADAM M LANG DPM
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Gender | Male
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Dates
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Enumeration Date | 04/12/2011
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Last Update Date | 11/30/2016
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Provider Practice Location Address
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Address Line | 107 MAIN ST
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City | ANDOVER
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State | MA
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Zip | 01810-3803
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Country | US
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Telephone | 978-475-1313
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Fax | 978-475-1166
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Provider Business Mailing Address
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Address Line | 107 MAIN ST
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City | ANDOVER
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State | MA
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Zip | 01810-3803
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Country | US
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Telephone | 978-475-1313
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Fax | 978-475-1166
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 2432
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License Number State | MA
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