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General NPI Number Information
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NPI Number | 1770802605
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Entity Type | Organization
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Legal Business Name | BILL ADAMS' MARTIAL ARTS, INC
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Dates
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Enumeration Date | 05/17/2010
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Last Update Date | 05/17/2010
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Provider Practice Location Address
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Address Line | 3211 TRANSIT RD
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City | ELMA
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State | NY
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Zip | 14059-9639
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Country | US
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Telephone | 716-668-5004
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Fax | 716-668-5005
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Provider Business Mailing Address
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Address Line | 3211 TRANSIT RD
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City | ELMA
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State | NY
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Zip | 14059-9639
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Country | US
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Telephone | 716-668-5004
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Fax | 716-668-5005
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. WILLIAM DAVID ADAMS
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Credential |
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Telephone | 716-668-5005
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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