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General NPI Number Information
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NPI Number | 1174812408
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Entity Type | Organization
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Legal Business Name | CATHERINE HUBBARD ADAMS, LLC
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Dates
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Enumeration Date | 04/07/2011
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Last Update Date | 04/07/2011
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Provider Practice Location Address
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Address Line | 1601 RAINBOW RD
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City | ROGERS
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State | AR
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Zip | 72758-8821
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Country | US
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Telephone | 479-254-1144
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Fax | 479-254-1099
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Provider Business Mailing Address
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Address Line | 1601 RAINBOW RD
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City | ROGERS
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State | AR
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Zip | 72758-8821
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Country | US
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Telephone | 479-254-1144
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Fax | 479-254-1099
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Authorized Official
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Title or Position | LICENSED PSYCHOLOGIST
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Name | DR. CATHERINE HUBBARD ADAMS
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Credential | PH.D
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Telephone | 870-926-2170
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 11-01P
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License Number State | AR
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