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General NPI Number Information
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NPI Number | 1942257969
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Entity Type | Organization
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Legal Business Name | ROBERT D ADAS DPM & LARRY H WEXLER DPM PC
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Dates
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Enumeration Date | 05/27/2006
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Last Update Date | 02/04/2010
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Provider Practice Location Address
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Address Line | 26831 WOODWARD AVE
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City | HUNTINGTON WOODS
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State | MI
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Zip | 48070-1326
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Country | US
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Telephone | 248-399-5905
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Fax | 248-399-5906
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Provider Business Mailing Address
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Address Line | 26831 WOODWARD AVE
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City | HUNTINGTON WOODS
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State | MI
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Zip | 48070-1326
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Country | US
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Telephone | 248-399-5905
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Fax | 248-399-5906
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | DR. ROBERT DONALD ADAS
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Credential | D.P.M.
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Telephone | 248-399-5905
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 0922
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 0940
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License Number State | MI
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