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General NPI Number Information
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NPI Number | 1740229053
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Entity Type | Individual
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Provider Name | MICHAEL T ADAMS RN, ACNP, FNP, CEN,
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Gender | Male
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Dates
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Enumeration Date | 06/05/2006
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Last Update Date | 10/26/2016
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Provider Practice Location Address
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Address Line | 500 CAMPUS DR
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City | HANCOCK
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State | MI
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Zip | 49930-1452
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Country | US
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Telephone | 906-483-1445
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Fax | 906-483-1122
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Provider Business Mailing Address
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Address Line | 500 CAMPUS DR
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City | HANCOCK
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State | MI
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Zip | 49930-1452
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Country | US
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Telephone | 906-483-1445
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Fax | 906-483-1122
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | R54642
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 2005500339NP/40NP
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 4704321379
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License Number State | MI
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