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General NPI Number Information
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NPI Number | 1528801685
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Entity Type | Individual
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Provider Name | MR. GARTH O ADAMS
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Gender | Male
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Dates
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Enumeration Date | 06/17/2024
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Last Update Date | 08/01/2024
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Provider Practice Location Address
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Address Line | 1336 E MAIN ST
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City | COLUMBUS
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State | OH
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Zip | 43205-2081
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Country | US
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Telephone | 614-348-3125
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Fax |
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Provider Business Mailing Address
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Address Line | 759 AUTUMN ASH CT
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City | GAHANNA
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State | OH
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Zip | 43230-5079
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Country | US
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Telephone | 614-348-3125
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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