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NPI 1285691543

NPI 1285691543 : RICHARD RYBERG ADAMS LCSW : APO, AE

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General NPI Number Information
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    NPI Number           |    1285691543
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    Entity Type          |    Individual 
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    Provider Name        |    RICHARD RYBERG ADAMS LCSW
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/28/2006
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    Last Update Date     |    05/12/2025
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Provider Practice Location Address
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    Address Line         |    UNIT 33100 BOX LANDSTUHL 
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    City                 |    APO
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    State                |    AE
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    Zip                  |    09180-3100
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    Country              |    US
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    Telephone            |    314-636-9726
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    CMR 427 BOX 3175 
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    City                 |    APO
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    State                |    AE
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    Zip                  |    09630-1032
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    Country              |    US
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    Telephone            |    314-636-9726
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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        |    104100000X
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    Taxonomy Name        |    Social Worker
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    License Number       |    139832-3501
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    License Number State |    UT
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Taxonomy #2
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    139832-3501
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    License Number State |    UT
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