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General NPI Number Information
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NPI Number | 1902805922
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Entity Type | Individual
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Provider Name | KAMAR T ADELEKE M.D, F.A.C.C
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Gender | Male
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Dates
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Enumeration Date | 07/20/2005
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Last Update Date | 09/18/2018
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Provider Practice Location Address
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Address Line | 2401 PENNSYLVANIA AVE STE 101
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City | WILMINGTON
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State | DE
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Zip | 19806-1432
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Country | US
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Telephone | 302-777-1103
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Fax | 302-777-1113
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Provider Business Mailing Address
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Address Line | 2401 PENNSYLVANIA AVE SUITE 101
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City | WILMINGTON
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State | DE
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Zip | 19806-1432
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Country | US
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Telephone | 302-777-1103
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Fax | 302-777-1113
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | C10004005
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License Number State | DE
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