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General NPI Number Information
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NPI Number | 1639491590
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Entity Type | Organization
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Legal Business Name | ADAM T. DAHMER, III, D.C., P.A.
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Dates
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Enumeration Date | 02/19/2010
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Last Update Date | 02/19/2010
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Provider Practice Location Address
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Address Line | 7026 PALISADE DR
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City | PORT RICHEY
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State | FL
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Zip | 34668-2529
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Country | US
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Telephone | 727-869-7399
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Fax | 727-869-7398
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Provider Business Mailing Address
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Address Line | 7026 PALISADE DR
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City | PORT RICHEY
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State | FL
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Zip | 34668-2529
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Country | US
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Telephone | 727-869-7399
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Fax | 727-869-7398
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. ADAM T DAHMER III
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Credential | D.C.
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Telephone | 727-869-7399
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH5244
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License Number State | FL
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