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General NPI Number Information
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NPI Number | 1760660096
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Entity Type | Organization
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Legal Business Name | ANTOINETTE D. ADAMS, DPM, PC
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Dates
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Enumeration Date | 02/08/2008
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Last Update Date | 03/09/2011
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Provider Practice Location Address
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Address Line | 137 BAKER ST
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City | EMPORIA
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State | VA
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Zip | 23847-1703
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Country | US
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Telephone | 434-336-9001
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Fax | 434-336-9229
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Provider Business Mailing Address
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Address Line | PO BOX 306
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City | EMPORIA
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State | VA
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Zip | 23847-0306
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Country | US
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Telephone | 434-336-9001
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Fax | 434-336-9229
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Authorized Official
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Title or Position | OWNER
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Name | DR. ANTOINETTE DENISE ADAMS
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Credential | DPM
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Telephone | 434-336-9001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 0103300897
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License Number State | VA
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