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General NPI Number Information
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NPI Number | 1780180935
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Entity Type | Individual
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Provider Name | KYLE ADAMS DO
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Gender | Male
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Dates
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Enumeration Date | 04/04/2018
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 1900 DON WICKHAM DR
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City | CLERMONT
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State | FL
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Zip | 34711-1979
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Country | US
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Telephone | 525-368-8303
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Fax | 352-536-8841
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Provider Business Mailing Address
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Address Line | 1900 DON WICKHAM DR
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City | CLERMONT
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State | FL
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Zip | 34711-1979
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Country | US
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Telephone | 352-536-8830
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Fax | 352-536-8841
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 05769
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 05769
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 20A18696
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 340031
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 082250
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License Number State | CT
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Taxonomy #6
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS19090
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License Number State | FL
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