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General NPI Number Information
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NPI Number | 1699351320
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Entity Type | Individual
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Provider Name | SHALOM ADAMS MD
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Gender | Male
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Dates
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Enumeration Date | 03/23/2021
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Last Update Date | 08/05/2024
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Provider Practice Location Address
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Address Line | 6405 N FEDERAL HWY STE 300
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City | FORT LAUDERDALE
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State | FL
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Zip | 33308-1414
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Country | US
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Telephone | 954-771-7294
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Fax | 954-776-8956
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Provider Business Mailing Address
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Address Line | 1700 NW 49TH ST STE 125
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City | FORT LAUDERDALE
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State | FL
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Zip | 33309-3750
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Country | US
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Telephone | 954-771-7294
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Fax | 954-776-8956
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME164513
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License Number State | FL
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