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General NPI Number Information
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NPI Number | 1306648118
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Entity Type | Individual
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Provider Name | REBECCA CAROL ADAMS MSW, LGSW
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Gender | Female
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Dates
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Enumeration Date | 03/25/2025
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Last Update Date | 03/25/2025
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Provider Practice Location Address
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Address Line | 313 HUDGINS ST
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City | LOGAN
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State | WV
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Zip | 25601-3535
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Country | US
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Telephone | 304-752-7830
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Fax |
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Provider Business Mailing Address
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Address Line | 1404 RACE ST STE 302
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City | CINCINNATI
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State | OH
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Zip | 45202-7366
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Country | US
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Telephone | 304-784-0342
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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 | BP00942483
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License Number State | WV
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