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General NPI Number Information
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NPI Number | 1396321642
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Entity Type | Individual
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Provider Name | ADAM BERNARD PIERSON MILANO LSW
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Gender | Male
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Dates
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Enumeration Date | 03/18/2021
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Last Update Date | 03/18/2021
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Provider Practice Location Address
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Address Line | 6541 SPECKER AVE
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City | FORT CARSON
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State | CO
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Zip | 80913-4263
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Country | US
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Telephone | 609-575-4912
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Fax |
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Provider Business Mailing Address
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Address Line | 3332 QUAIL LAKE RD APT 309
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City | COLORADO SPRINGS
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State | CO
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Zip | 80906-4660
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Country | US
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Telephone | 609-575-4912
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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 | LSW.0009923041
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License Number State | CO
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