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General NPI Number Information
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NPI Number | 1588195044
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Entity Type | Individual
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Provider Name | ADAM MAERZ MD
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Gender | Male
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Dates
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Enumeration Date | 03/25/2017
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Last Update Date | 08/04/2024
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Provider Practice Location Address
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Address Line | 701 N 1ST ST STE D327
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City | SPRINGFIELD
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State | IL
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Zip | 62702-3757
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Country | US
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Telephone | 217-545-8444
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Fax | 217-545-7762
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Provider Business Mailing Address
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Address Line | PO BOX 19638
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City | SPRINGFIELD
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State | IL
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Zip | 62794-9638
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Country | US
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Telephone | 217-545-8444
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Fax | 217-545-7762
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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 | 208C00000X
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Taxonomy Name | Colon & Rectal Surgery Physician
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License Number | 036.171098
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License Number State | IL
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