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General NPI Number Information
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NPI Number | 1831050764
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Entity Type | Organization
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Legal Business Name | ADAGE HEALTHCARE SOLUTIONS, LLC
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Dates
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Enumeration Date | 11/20/2025
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Last Update Date | 11/20/2025
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Provider Practice Location Address
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Address Line | 7404 EXECUTIVE PL STE 102
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City | LANHAM
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State | MD
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Zip | 20706-6230
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Country | US
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Telephone | 240-206-8767
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Fax | 240-245-3407
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Provider Business Mailing Address
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Address Line | 7404 EXECUTIVE PL STE 102
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City | LANHAM
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State | MD
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Zip | 20706-6230
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Country | US
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Telephone | 240-206-8767
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Fax | 240-245-3407
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | GRACE A ADESANYA
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Credential |
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Telephone | 240-918-7548
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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