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General NPI Number Information
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NPI Number | 1841271640
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Entity Type | Individual
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Provider Name | ROBERT C ADAMS D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 11/08/2005
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Last Update Date | 06/23/2014
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Provider Practice Location Address
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Address Line | 55 CHERRY ST
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City | MILFORD
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State | CT
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Zip | 06460-8903
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Country | US
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Telephone | 203-877-7671
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Fax |
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Provider Business Mailing Address
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Address Line | 787 QUARTER MILE RD
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City | ORANGE
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State | CT
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Zip | 06477-1532
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Country | US
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Telephone | 203-799-8862
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 05605
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License Number State | CT
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