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General NPI Number Information
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NPI Number | 1710073929
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Entity Type | Individual
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Provider Name | HEATHER R ADAMS DDS
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Gender | Female
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Dates
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Enumeration Date | 10/05/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 613 3RD AVE
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City | CHULA VISTA
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State | CA
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Zip | 91910-5703
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Country | US
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Telephone | 619-425-7700
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Fax | 619-425-5871
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Provider Business Mailing Address
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Address Line | 3585 BUNKER HILL ST
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City | SAN DIEGO
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State | CA
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Zip | 92117-5610
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Country | US
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Telephone | 858-273-8530
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 33224
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License Number State | CA
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