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General NPI Number Information
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NPI Number | 1831398577
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Entity Type | Individual
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Provider Name | MARY ADAMEK PT
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Gender | Female
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Dates
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Enumeration Date | 07/12/2007
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 401 W GREENLAWN AVE
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City | LANSING
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State | MI
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Zip | 48910-2819
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Country | US
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Telephone | 517-975-6401
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Fax |
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Provider Business Mailing Address
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Address Line | 1975 NAVAHO TRL
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City | OKEMOS
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State | MI
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Zip | 48864-2721
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Country | US
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Telephone |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 070-007142
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT005301
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 5501006274
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License Number State | MI
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