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General NPI Number Information
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NPI Number | 1568723427
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Entity Type | Individual
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Provider Name | MRS. TAMMY KATHERINE ADAMS
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Gender | Female
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Dates
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Enumeration Date | 06/06/2012
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Last Update Date | 06/06/2012
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Provider Practice Location Address
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Address Line | 236 N PARLIMAN RD
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City | LAGRANGEVILLE
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State | NY
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Zip | 12540-6216
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Country | US
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Telephone | 917-468-9106
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Fax | 845-226-1241
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Provider Business Mailing Address
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Address Line | 236 N PARLIMAN RD
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City | LAGRANGEVILLE
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State | NY
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Zip | 12540-6216
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Country | US
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Telephone | 917-468-9106
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Fax | 845-226-1241
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 11625
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License Number State | NY
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