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General NPI Number Information
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NPI Number | 1821671835
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Entity Type | Individual
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Provider Name | ZACHARY BRYANT ADKINS MD
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Gender | Male
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Dates
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Enumeration Date | 04/28/2021
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Last Update Date | 06/30/2022
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Provider Practice Location Address
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Address Line | 11800 E 12 MILE RD
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City | WARREN
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State | MI
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Zip | 48093-3472
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Country | US
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Telephone | 586-576-4720
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Fax |
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Provider Business Mailing Address
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Address Line | 18353 W 13 MILE RD APT 34
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City | SOUTHFIELD
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State | MI
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Zip | 48076-8031
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Country | US
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Telephone | 901-413-4721
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 4351048178APP21
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License Number State | MI
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