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General NPI Number Information
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NPI Number | 1457621591
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Entity Type | Individual
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Provider Name | ADAM C PAYNE LMSW
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Gender | Male
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Dates
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Enumeration Date | 01/06/2012
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Last Update Date | 01/06/2012
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Provider Practice Location Address
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Address Line | 70 PARK TER E #2E
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City | NEW YORK
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State | NY
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Zip | 10034-1409
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Country | US
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Telephone | 646-559-4052
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Fax |
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Provider Business Mailing Address
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Address Line | 70 PARK TERRACE EAST #2E
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City | NYC
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State | NY
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Zip | 10034-1074
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Country | US
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Telephone | 646-559-4052
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 083441
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License Number State | NY
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