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General NPI Number Information
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NPI Number | 1760470587
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Entity Type | Individual
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Provider Name | JESSE E ADAMS III MD
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Gender | Male
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Dates
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Enumeration Date | 10/06/2005
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Last Update Date | 12/10/2020
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Provider Practice Location Address
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Address Line | 3900 KRESGE WAY SUITE 60
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City | LOUISVILLE
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State | KY
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Zip | 40207-4660
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Country | US
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Telephone | 502-893-7710
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Fax | 502-893-1884
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Provider Business Mailing Address
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Address Line | 5200 COMMERCE CROSSINGS DR FL 3
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City | LOUISVILLE
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State | KY
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Zip | 40229-2182
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Country | US
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Telephone | 502-253-4924
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Fax | 502-489-5750
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 01044036A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 31496
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License Number State | KY
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