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General NPI Number Information
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NPI Number | 1073028742
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Entity Type | Organization
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Legal Business Name | ADR WELLNESS A PROFESSIONAL PSYCHOLOGY CORPORATION
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Dates
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Enumeration Date | 12/04/2017
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 785 GRAND AVE STE 101
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City | CARLSBAD
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State | CA
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Zip | 92008-2370
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Country | US
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Telephone | 760-793-8063
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Fax |
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Provider Business Mailing Address
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Address Line | 13800 TECH CITY CIR STE 322
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City | ALACHUA
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State | FL
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Zip | 32615-7254
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Country | US
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Telephone | 615-469-0517
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Fax | 619-828-6944
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | AIMEE BOND
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Credential |
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Telephone | 615-751-7933
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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