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General NPI Number Information
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NPI Number | 1588098917
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Entity Type | Individual
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Provider Name | JARED R ADAMS DDS
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Gender | Male
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Dates
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Enumeration Date | 08/21/2013
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Last Update Date | 05/19/2023
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Provider Practice Location Address
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Address Line | 361 NE FRANKLIN AVE BLDG D
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City | BEND
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State | OR
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Zip | 97701-4917
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Country | US
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Telephone | 541-382-1279
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Fax | 541-382-8327
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Provider Business Mailing Address
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Address Line | 361 NE FRANKLIN AVE BLDG D
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City | BEND
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State | OR
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Zip | 97701-4917
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Country | US
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Telephone | 541-382-5678
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Fax | 541-382-8327
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 1510
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License Number State | AK
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | D10431
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License Number State | OR
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