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General NPI Number Information
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NPI Number | 1922002492
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Entity Type | Individual
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Provider Name | JESSIE ADAME M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/11/2005
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Last Update Date | 01/10/2017
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Provider Practice Location Address
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Address Line | 3007 WOODLAND HILLS DR # 123
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City | KINGWOOD
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State | TX
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Zip | 77339-1403
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Country | US
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Telephone | 281-359-1953
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Fax | 281-657-6834
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Provider Business Mailing Address
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Address Line | 3007 WOODLAND HILLS DR # 123
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City | KINGWOOD
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State | TX
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Zip | 77339-1403
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Country | US
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Telephone | 281-359-1953
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Fax | 281-657-6834
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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 | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | H9743
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207ZF0201X
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Taxonomy Name | Forensic Pathology Physician
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License Number | H9743
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 202C00000X
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Taxonomy Name | Independent Medical Examiner Physician
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License Number | H9743
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License Number State | TX
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