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General NPI Number Information
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NPI Number | 1699330456
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Entity Type | Individual
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Provider Name | MICHAEL ANDREW ADAMOVICH FNP-C
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Gender | Male
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Dates
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Enumeration Date | 05/07/2019
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Last Update Date | 02/19/2025
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Provider Practice Location Address
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Address Line | 8929 PARALLEL PKWY
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City | KANSAS CITY
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State | KS
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Zip | 66112-1689
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Country | US
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Telephone | 913-596-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 1421 NE 77TH TER
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City | KANSAS CITY
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State | MO
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Zip | 64118-1936
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Country | US
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Telephone | 816-332-1713
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2019007958
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 53-78711-042
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License Number State | KS
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