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General NPI Number Information
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NPI Number | 1689843278
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Entity Type | Individual
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Provider Name | ADAM S OSENGA D.C.
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Gender | Male
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Dates
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Enumeration Date | 02/27/2008
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Last Update Date | 02/20/2022
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Provider Practice Location Address
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Address Line | 6633 E STATE BLVD STE 200
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City | FORT WAYNE
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State | IN
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Zip | 46815-7035
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Country | US
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Telephone | 260-696-0959
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Fax | 260-969-0052
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Provider Business Mailing Address
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Address Line | 4332 FLAGSTAFF CV
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City | FORT WAYNE
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State | IN
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Zip | 46815-4416
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Country | US
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Telephone | 260-696-0959
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Fax | 260-969-0052
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 3886
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 08002385A
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License Number State | IN
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