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General NPI Number Information
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NPI Number | 1477981280
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Entity Type | Organization
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Legal Business Name | EVIE ADELMAN PHD INC
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Dates
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Enumeration Date | 10/15/2013
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Last Update Date | 10/15/2013
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Provider Practice Location Address
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Address Line | 323 S BROAD ST
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City | LANCASTER
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State | OH
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Zip | 43130-4311
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Country | US
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Telephone | 740-654-2555
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Fax | 740-653-1132
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Provider Business Mailing Address
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Address Line | PO BOX 2566
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City | LANCASTER
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State | OH
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Zip | 43130-5566
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Country | US
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Telephone | 740-654-2555
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Fax | 740-653-1132
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. EVIE JOYCE ADELMAN
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Credential | PHD
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Telephone | 740-654-2555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 4462
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License Number State | OH
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