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NPI 1033758941

NPI 1033758941 : CARA NEBEKER-ADAMS : PALMER, AK

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General NPI Number Information
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    NPI Number           |    1033758941
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    Entity Type          |    Individual 
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    Provider Name        |    CARA NEBEKER-ADAMS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/26/2019
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    Last Update Date     |    05/26/2021
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Provider Practice Location Address
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    Address Line         |    780 S SNODGRASS DR 
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    City                 |    PALMER
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    State                |    AK
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    Zip                  |    99645-9149
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    Country              |    US
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    Telephone            |    907-671-6871
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2521 E MTN. VILLAGE DRIVE STE B PMB 797
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    City                 |    WASILLA
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    State                |    AK
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    Zip                  |    99654-7881
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    Country              |    US
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    Telephone            |    907-671-6871
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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        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    617
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    License Number State |    AK
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Taxonomy #2
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    167681
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    License Number State |    AK
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