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General NPI Number Information
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NPI Number | 1386737989
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Entity Type | Organization
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Legal Business Name | G ADRIAN DEAN MD INC
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 03/11/2013
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Provider Practice Location Address
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Address Line | 709 CANYON PARK AVE
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City | TWIN FALLS
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State | ID
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Zip | 83301-3054
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Country | US
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Telephone | 208-944-4727
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Fax | 208-944-4646
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Provider Business Mailing Address
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Address Line | 709 CANYON PARK AVE
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City | TWIN FALLS
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State | ID
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Zip | 83301-3054
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Country | US
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Telephone | 208-944-4727
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Fax | 208-944-4646
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. G. ADRIAN DEAN
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Credential | MD
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Telephone | 208-944-4727
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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 | M-5018
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License Number State | ID
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