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General NPI Number Information
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NPI Number | 1790166916
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Entity Type | Individual
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Provider Name | ADAM NORTON M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/12/2015
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Last Update Date | 11/07/2022
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Provider Practice Location Address
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Address Line | 15 FOUNDERS LN
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City | JACKSONVILLE
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State | IL
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Zip | 62650-3919
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Country | US
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Telephone | 217-291-1041
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 19248
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City | SPRINGFIELD
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State | IL
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Zip | 62794-9248
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Country | US
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Telephone | 217-528-7541
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Fax |
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 036153425
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 7428
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License Number State | NE
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Taxonomy #3
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Taxonomy Code | 2080S0010X
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Taxonomy Name | Pediatric Sports Medicine Physician
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License Number | 70935
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License Number State | WI
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Taxonomy #4
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Taxonomy Code | 2080S0010X
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Taxonomy Name | Pediatric Sports Medicine Physician
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License Number | 036153425
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License Number State | IL
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