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General NPI Number Information
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NPI Number | 1639427784
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Entity Type | Individual
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Provider Name | ADAM RICHARD LAWS PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 08/21/2012
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Last Update Date | 10/26/2022
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Provider Practice Location Address
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Address Line | 3301 W BROADWAY BUSINESS PARK CT STE F
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City | COLUMBIA
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State | MO
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Zip | 65203-0106
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Country | US
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Telephone | 573-447-0422
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Fax | 573-447-0434
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Provider Business Mailing Address
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Address Line | 1301 SEATTLE SLEW DR
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City | COLUMBIA
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State | MO
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Zip | 65202-4825
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Country | US
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Telephone | 573-424-8673
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2012027749
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License Number State | MO
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