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General NPI Number Information
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NPI Number | 1871761049
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Entity Type | Organization
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Legal Business Name | JEFFERY W ADKINS MD
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Dates
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Enumeration Date | 02/11/2008
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Last Update Date | 09/02/2015
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Provider Practice Location Address
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Address Line | 5404 LAUREL HILLS DR
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City | SACRAMENTO
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State | CA
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Zip | 95841-3106
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Country | US
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Telephone | 916-967-4339
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Fax | 916-537-2974
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Provider Business Mailing Address
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Address Line | 5404 LAUREL HILLS DR
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City | SACRAMENTO
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State | CA
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Zip | 95841-3106
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Country | US
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Telephone | 916-967-4339
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Fax | 916-537-2974
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Authorized Official
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Title or Position | OWNER
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Name | DR. JEFFERY W ADKINS
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Credential | MD
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Telephone | 916-967-4339
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | A705770
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPT 11060 TPA
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPT 15375 TLG
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | A75077
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License Number State | CA
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