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General NPI Number Information
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NPI Number | 1477413276
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Entity Type | Individual
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Provider Name | ADAMA SOW
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Gender | Female
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Dates
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Enumeration Date | 11/13/2025
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Last Update Date | 11/19/2025
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Provider Practice Location Address
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Address Line | 3106 S W S YOUNG DR STE B-202
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City | KILLEEN
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State | TX
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Zip | 76542-2000
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Country | US
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Telephone | 254-628-0056
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Fax |
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Provider Business Mailing Address
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Address Line | 100 ARCADIAN CV
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City | LIBERTY HILL
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State | TX
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Zip | 78642-2298
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Country | US
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Telephone | 718-812-5950
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 1212963
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License Number State | TX
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