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General NPI Number Information
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NPI Number | 1619393808
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Entity Type | Individual
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Provider Name | JULIUS TYLER ADAMS
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Gender | Male
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Dates
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Enumeration Date | 03/12/2014
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Last Update Date | 08/24/2020
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Provider Practice Location Address
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Address Line | 113 BROAD ST STE 1000
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City | ROME
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State | GA
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Zip | 30161-3062
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Country | US
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Telephone | 865-398-2253
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Fax | 855-232-8604
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Provider Business Mailing Address
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Address Line | 113 BROAD ST STE 1000
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City | ROME
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State | GA
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Zip | 30161-3062
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Country | US
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Telephone | 865-398-2253
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Fax | 855-232-8604
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 3035
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | PTA004475
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License Number State | GA
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