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General NPI Number Information
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NPI Number | 1881933372
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Entity Type | Individual
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Provider Name | JUDY ANN ADAN D.M.D.
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Gender | Female
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Dates
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Enumeration Date | 02/04/2013
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Last Update Date | 04/26/2016
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Provider Practice Location Address
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Address Line | 8300 N FM 620, BLDG G STE 100
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City | AUSTIN
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State | TX
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Zip | 78726
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Country | US
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Telephone | 512-331-0359
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Fax |
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Provider Business Mailing Address
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Address Line | 18 BYRON PL
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City | COLONIA
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State | NJ
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Zip | 07067-1310
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Country | US
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Telephone | 732-259-5607
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 64035
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 31619
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License Number State | TX
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