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General NPI Number Information
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NPI Number | 1982895207
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Entity Type | Individual
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Provider Name | STEPHANIE LEE ADAMS A.T.C.
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Gender | Female
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Dates
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Enumeration Date | 08/05/2007
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Last Update Date | 10/28/2010
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Provider Practice Location Address
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Address Line | 8391 E. COMMERCE RD. SUITE 108
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City | COMMERCE TOWNSHIP
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State | MI
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Zip | 48382
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Country | US
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Telephone | 248-360-8700
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Fax |
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Provider Business Mailing Address
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Address Line | 9640 COMMERCE RD SUITE 202
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City | COMMERCE TOWNSHIP
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State | MI
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Zip | 48382-4166
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Country | US
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Telephone |
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State |
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