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General NPI Number Information
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NPI Number | 1689818197
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Entity Type | Individual
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Provider Name | ADAM HENNESSEY D.O.
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Gender | Male
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Dates
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Enumeration Date | 04/28/2009
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Last Update Date | 10/16/2023
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Provider Practice Location Address
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Address Line | 1600 HADDON AVE
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City | CAMDEN
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State | NJ
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Zip | 08103-3101
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Country | US
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Telephone | 856-757-3803
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Fax |
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Provider Business Mailing Address
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Address Line | 1236 RXR PLZ
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City | UNIONDALE
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State | NY
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Zip | 11556-1236
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Country | US
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Telephone | 484-788-9786
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 329613
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 8291
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License Number State | OK
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 320534-01
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | OS016523
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License Number State | PA
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Taxonomy #5
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 25MB09278000
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License Number State | NJ
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