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NPI Code Detail

MEDICARE: ADAM ALIG NP

MEDICARE:   ADAM  ALIG  NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAPRN.CNP.0027649OH

General Provider Information

NPI Number : 1366057572
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADAM ALIG NP
Provider Business Mailing Address
First Line : 830 W MAIN ST
Second Line :
City : COLDWATER
State : OH
Zip : 45828-1657
Country : US
Telephone Number : 567-890-7185
Fax Number :
Provider Business Practice Location Address
First Line : 1830 UNION CITY RD
Second Line :
City : FORT RECOVERY
State : OH
Zip : 45846-9315
Country : US
Telephone Number : 419-375-4144
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2020
Last Update Date : 09/30/2020

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