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General NPI Number Information
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NPI Number | 1740192582
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Entity Type | Organization
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Legal Business Name | VIRTUMED TX PLLC
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Dates
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Enumeration Date | 09/17/2026
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Last Update Date | 09/17/2026
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Provider Practice Location Address
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Address Line | 4001 W 15TH ST STE 435
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City | PLANO
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State | TX
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Zip | 75093-5845
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Country | US
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Telephone | 708-628-2326
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Fax | 630-566-8294
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Provider Business Mailing Address
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Address Line | 455 N CITYFRONT PLAZA DR STE 2515
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City | CHICAGO
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State | IL
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Zip | 60611-5323
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Country | US
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Telephone | 708-628-2326
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Fax | 630-566-8294
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Authorized Official
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Title or Position | MD
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Name | KENNETH KEI ADAMS
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Credential |
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Telephone | 708-628-2326
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2081S0010X
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Taxonomy Name | Sports Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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