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General NPI Number Information
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NPI Number | 1053038844
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Entity Type | Individual
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Provider Name | ADELYA URMANCHE PHD
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Gender | Female
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Dates
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Enumeration Date | 10/24/2022
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Last Update Date | 10/21/2024
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Provider Practice Location Address
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Address Line | 222 JOYCE LAWRENCE LN
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City | BOONE
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State | NC
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Zip | 28608-1304
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Country | US
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Telephone | 828-278-9107
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Fax |
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Provider Business Mailing Address
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Address Line | 247 ELI HARTLEY DR APT 104
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City | BOONE
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State | NC
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Zip | 28607-3794
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Country | US
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Telephone | 828-278-9107
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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 | 103TH0100X
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Taxonomy Name | Health Service Psychologist
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License Number | 6650
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 026093
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 6650
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License Number State | NC
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