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General NPI Number Information
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NPI Number | 1689801920
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Entity Type | Individual
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Provider Name | JOEL ADDAMS M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/13/2009
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Last Update Date | 10/10/2024
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Provider Practice Location Address
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Address Line | 1625 N CAMPBELL AVE
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City | TUCSON
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State | AZ
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Zip | 85719-4330
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Country | US
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Telephone | 520-694-6412
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Fax |
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Provider Business Mailing Address
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Address Line | 1625 N CAMPBELL AVE RM 41551
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City | TUCSON
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State | AZ
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Zip | 85719-4330
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Country | US
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Telephone | 520-694-6412
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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 | 207ZB0001X
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Taxonomy Name | Blood Banking & Transfusion Medicine Physician
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License Number | 62714
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 207ZC0006X
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Taxonomy Name | Clinical Pathology Physician
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License Number | 4835992-1205
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License Number State | UT
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MDR-5731
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License Number State | HI
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