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General NPI Number Information
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NPI Number | 1659329027
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Entity Type | Individual
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Provider Name | STEPHEN MOORE ADAMS NURSE PRACTITIONER
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Gender | Male
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Dates
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Enumeration Date | 05/05/2006
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Last Update Date | 06/20/2008
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Provider Practice Location Address
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Address Line | 3066 E COMMERCE ST
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City | SAN ANTONIO
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State | TX
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Zip | 78220-1013
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Country | US
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Telephone | 210-233-7000
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Fax | 210-277-5199
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Provider Business Mailing Address
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Address Line | 3066 E COMMERCE ST
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City | SAN ANTONIO
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State | TX
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Zip | 78220-1013
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Country | US
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Telephone | 210-233-7000
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Fax | 210-277-5199
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 2406
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 559709
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License Number State | TX
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