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General NPI Number Information
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NPI Number | 1588532196
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Entity Type | Individual
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Provider Name | ADAM WALDEN
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Gender | Male
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Dates
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Enumeration Date | 10/27/2025
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 361 EXIDE DR
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City | BRISTOL
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State | TN
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Zip | 37620-8951
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Country | US
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Telephone | 423-989-5704
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Fax |
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Provider Business Mailing Address
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Address Line | 2931 DEVAULT BRIDGE RD
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City | PINEY FLATS
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State | TN
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Zip | 37686-3245
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Country | US
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Telephone |
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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 | 146L00000X
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Taxonomy Name | Paramedic
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License Number | 208944
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License Number State | TN
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