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General NPI Number Information
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NPI Number | 1942004130
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Entity Type | Individual
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Provider Name | ADAM A JAMES
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Gender | Male
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Dates
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Enumeration Date | 04/04/2025
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | BLDG, 45005 ARIZONA RD
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City | FORT HUACHUCA
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State | AZ
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Zip | 85613
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Country | US
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Telephone | 520-533-9265
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Fax |
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Provider Business Mailing Address
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Address Line | 6958 NEBRASKA AVE
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City | FORT LEONARD WOOD
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State | MO
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Zip | 65473-1618
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Country | US
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Telephone | 573-596-0411
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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 | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number |
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License Number State |
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