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General NPI Number Information
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NPI Number | 1588995807
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Entity Type | Individual
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Provider Name | ADIL JADOON MD
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Gender | Male
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Dates
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Enumeration Date | 01/26/2010
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Last Update Date | 05/26/2019
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Provider Practice Location Address
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Address Line | 1721 S STEPHENSON AVE
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City | IRON MOUNTAIN
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State | MI
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Zip | 49801-3637
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Country | US
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Telephone | 906-774-1313
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Fax |
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Provider Business Mailing Address
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Address Line | 4140 S VICTORIA CT
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City | NEW BERLIN
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State | WI
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Zip | 53151-6147
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Country | US
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Telephone | 626-661-4262
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 54328
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 036124125
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 4301102228
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 4301102228
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License Number State | MI
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