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General NPI Number Information
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NPI Number | 1619318532
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Entity Type | Individual
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Provider Name | LAURA T ADAM M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/08/2013
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 2145 N FAIRFILED RD STE 100
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City | BEAVERCREEK
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State | OH
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Zip | 45431-2783
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Country | US
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Telephone | 937-558-3900
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Fax | 937-558-3900
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Provider Business Mailing Address
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Address Line | 2145 N FAIRFIELD RD STE 100
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City | BEAVERCREEK
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State | OH
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Zip | 45431-2783
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A136805
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 275039
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License Number State | MA
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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 | 35.152317
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 35.152317
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License Number State | OH
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