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General NPI Number Information
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NPI Number | 1730742214
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Entity Type | Individual
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Provider Name | MICHAEL JULIAN ADAME MD
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Gender | Male
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Dates
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Enumeration Date | 04/19/2019
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Last Update Date | 05/06/2025
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Provider Practice Location Address
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Address Line | 2424 BABCOCK RD STE 301
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City | SAN ANTONIO
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State | TX
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Zip | 78229-6031
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Country | US
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Telephone | 210-864-0494
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Fax | 210-692-7833
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Provider Business Mailing Address
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Address Line | PO BOX 650859
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City | DALLAS
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State | TX
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Zip | 75265-0859
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Country | US
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Telephone | 409-772-3410
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Fax | 409-772-3533
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | BP10066736
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207RA0201X
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Taxonomy Name | Allergy & Immunology (Internal Medicine) Physician
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License Number | BP20081704
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License Number State | TX
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