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General NPI Number Information
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NPI Number | 1801150867
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Entity Type | Organization
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Legal Business Name | ANDREWS ADADE MD, PC
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Dates
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Enumeration Date | 06/25/2012
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Last Update Date | 06/25/2012
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Provider Practice Location Address
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Address Line | 18 HILLANDALE AVE
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City | STAMFORD
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State | CT
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Zip | 06902-2808
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Country | US
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Telephone | 203-327-9333
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Fax | 203-325-8566
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Provider Business Mailing Address
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Address Line | 18 HILLANDALE AVE
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City | STAMFORD
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State | CT
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Zip | 06902-2808
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Country | US
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Telephone | 203-327-9333
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Fax | 203-325-8566
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Authorized Official
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Title or Position | PRESIDENT / PHYSICIAN
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Name | DR. ANDREWS ADU ADADE
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Credential | M.D
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Telephone | 203-327-9333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080A0000X
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Taxonomy Name | Pediatric Adolescent Medicine Physician
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License Number | 025919
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License Number State | CT
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