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General NPI Number Information
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NPI Number | 1912556762
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Entity Type | Individual
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Provider Name | ADAM LIPAROTO
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Gender | Male
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Dates
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Enumeration Date | 09/04/2019
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Last Update Date | 11/18/2024
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Provider Practice Location Address
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Address Line | 27158 JOHN DR
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City | NEW BOSTON
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State | MI
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Zip | 48164-9048
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Country | US
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Telephone | 734-308-4493
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Fax |
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Provider Business Mailing Address
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Address Line | 10640 165TH ST
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City | ORLAND PARK
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State | IL
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Zip | 60467-8734
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Country | US
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Telephone | 708-364-0264
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Fax | 708-364-0269
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 209.019890
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License Number State | IL
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