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General NPI Number Information
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NPI Number | 1629241492
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Entity Type | Organization
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Legal Business Name | ADAMS CHIROPRACTIC CENTER PA
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Dates
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Enumeration Date | 04/11/2008
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Last Update Date | 05/28/2008
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Provider Practice Location Address
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Address Line | 3307 CLARK RD SUITE 102
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City | SARASOTA
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State | FL
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Zip | 34231-8419
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Country | US
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Telephone | 941-922-6196
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Fax |
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Provider Business Mailing Address
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Address Line | 3307 CLARK RD SUITE 102
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City | SARASOTA
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State | FL
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Zip | 34231-8419
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Country | US
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Telephone | 941-922-6196
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RONALD WADE ADAMS
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Credential | DC
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Telephone | 941-296-0374
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | CH7979
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License Number State | FL
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