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Individual
PHILIP PAUL ADAMCZAK
Active
Individual
PHILIP PAUL ADAMCZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
043809
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003351601
—
TX
01
—
430029332
RAILROAD MEDICARE
TX
01
—
88588C
TX-BLUE SHIELD
—
Enumeration date
01/08/2007
Last updated
08/08/2008
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