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General NPI Number Information
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NPI Number | 1386082972
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Entity Type | Individual
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Provider Name | BRIANA MARIE ADAMS MA, LPCC
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Gender | Female
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Dates
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Enumeration Date | 06/05/2013
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Last Update Date | 06/06/2013
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Provider Practice Location Address
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Address Line | 311 BRIGHTON AVE S SUITE B
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City | BUFFALO
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State | MN
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Zip | 55313-2312
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Country | US
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Telephone | 763-443-8947
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Fax | 763-682-2449
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Provider Business Mailing Address
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Address Line | 52 17TH ST S
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City | BUFFALO
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State | MN
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Zip | 55313-2418
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Country | US
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Telephone | 763-443-8947
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 602
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License Number State | MN
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