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General NPI Number Information
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NPI Number | 1497979041
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Entity Type | Individual
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Provider Name | DAVID BOICE ADKINS L.P.C.
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Gender | Male
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Dates
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Enumeration Date | 04/13/2007
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Last Update Date | 07/21/2015
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Provider Practice Location Address
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Address Line | 3048 WINDING RIVER DR
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City | SAINT CHARLES
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State | MO
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Zip | 63303-6070
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Country | US
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Telephone | 314-368-8932
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Fax | 636-685-2226
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Provider Business Mailing Address
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Address Line | 3048 WINDING RIVER DR
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City | SAINT CHARLES
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State | MO
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Zip | 63303-6070
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Country | US
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Telephone | 314-368-8932
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Fax | 636-685-2226
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | CS000906
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number | CS000906
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License Number State | MO
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