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General NPI Number Information
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NPI Number | 1467573048
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Entity Type | Individual
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Provider Name | ADAM WEINER
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Gender | Male
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Dates
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Enumeration Date | 04/02/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1127 BALDWIN ST SUITE A
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City | SALINAS
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State | CA
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Zip | 93906-3681
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Country | US
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Telephone | 831-449-7974
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 730276
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City | SAN JOSE
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State | CA
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Zip | 95173-0276
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Country | US
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Telephone |
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | RPS2005052
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License Number State |
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