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General NPI Number Information
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NPI Number | 1760648646
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Entity Type | Individual
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Provider Name | BENJAMIN ADAMS D.O.
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Gender | Male
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Dates
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Enumeration Date | 07/31/2008
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Last Update Date | 09/13/2021
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Provider Practice Location Address
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Address Line | 12700 PARK CENTRAL DR STE 900
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City | DALLAS
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State | TX
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Zip | 75251-1542
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Country | US
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Telephone | 214-860-6036
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Fax | 972-704-2871
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Provider Business Mailing Address
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Address Line | 12700 PARK CENTRAL DR STE 900
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City | DALLAS
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State | TX
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Zip | 75251-1542
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Country | US
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Telephone | 214-860-6036
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Fax | 972-704-2871
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 0510989
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 20A15758
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | N9993
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License Number State | TX
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