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General NPI Number Information
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NPI Number | 1942242300
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Entity Type | Organization
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Legal Business Name | ADAMS EYE CARE, PC
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Dates
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Enumeration Date | 06/11/2006
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Last Update Date | 03/12/2013
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Provider Practice Location Address
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Address Line | 1712 5TH AVE N
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City | BIRMINGHAM
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State | AL
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Zip | 35203-2023
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Country | US
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Telephone | 205-323-4608
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Fax | 205-252-0203
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Provider Business Mailing Address
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Address Line | 1712 5TH AVE N
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City | BIRMINGHAM
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State | AL
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Zip | 35203-2023
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Country | US
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Telephone | 205-323-4608
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Fax | 205-252-0203
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | JUANAKEE RAEDELL ADAMS
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Credential | OD
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Telephone | 205-323-4608
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | S-444-TA-297
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License Number State | AL
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