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General NPI Number Information
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NPI Number | 1790709111
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Entity Type | Individual
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Provider Name | MICHAEL L ADIX DO
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Gender | Male
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 12/11/2020
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Provider Practice Location Address
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Address Line | 419 EARL ROAD
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City | SHELBY
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State | NC
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Zip | 28150
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Country | US
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Telephone | 704-481-0555
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Fax | 704-481-9169
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Provider Business Mailing Address
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Address Line | 3152 LITTLE ROAD, SUITE 115
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City | TRINITY
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State | FL
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Zip | 34655
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Country | US
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Telephone | 727-510-7536
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Fax | 727-494-7421
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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 | 2011040029
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 9401112
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License Number State | NC
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