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General NPI Number Information
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NPI Number | 1528749447
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Entity Type | Organization
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Legal Business Name | ADAMS PSYCHOLOGICAL ASSESSMENT AND THERAPY SERVICES, LLC
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Dates
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Enumeration Date | 07/25/2023
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Last Update Date | 07/25/2023
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Provider Practice Location Address
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Address Line | 17935 N PENNSYLVANIA AVE STE 201
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City | EDMOND
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State | OK
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Zip | 73012-9288
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Country | US
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Telephone | 405-285-2110
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Fax |
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Provider Business Mailing Address
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Address Line | 1687 WELLINGTON RD
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City | NEWCASTLE
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State | OK
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Zip | 73065-2302
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Country | US
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Telephone | 405-574-2836
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Fax |
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Authorized Official
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Title or Position | HEALTH SERVICE PSYCHOLOGIST
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Name | LAUREN ADAMS
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Credential | PHD
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Telephone | 405-574-2836
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TH0100X
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Taxonomy Name | Health Service Psychologist
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License Number |
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License Number State |
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