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General NPI Number Information
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NPI Number | 1760500474
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Entity Type | Individual
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Provider Name | DAVID THOMAS ADAMS RPA
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Gender | Male
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 08/19/2014
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Provider Practice Location Address
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Address Line | 225 ST LAWRENCE AVE
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City | HAMMOND
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State | NY
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Zip | 13646-3259
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Country | US
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Telephone | 315-324-5941
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Fax | 315-324-6414
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Provider Business Mailing Address
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Address Line | 225 ST LAWRENCE AVE
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City | HAMMOND
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State | NY
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Zip | 13646-3259
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Country | US
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Telephone | 315-324-5941
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Fax | 315-324-6414
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 002017
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License Number State | NY
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