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General NPI Number Information
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NPI Number | 1558626689
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Entity Type | Individual
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Provider Name | ADAM HARRIS BLACK NP
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Gender | Male
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Dates
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Enumeration Date | 07/04/2012
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Last Update Date | 08/13/2026
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Provider Practice Location Address
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Address Line | 213 W MAPLEWOOD LN STE 350
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City | NASHVILLE
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State | TN
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Zip | 37207-2992
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Country | US
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Telephone | 615-961-5878
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Fax |
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Provider Business Mailing Address
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Address Line | 7171 BUFFALO SPEEDWAY APT 535
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City | HOUSTON
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State | TX
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Zip | 77025-1424
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Country | US
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Telephone | 205-960-6362
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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 | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | N13318
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | AP61654453
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP61654453
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | APRN11029594
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0024193322
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License Number State | VA
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Taxonomy #6
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN11029594
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License Number State | FL
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Taxonomy #7
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4047534
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License Number State | KY
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Taxonomy #8
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 4047534
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License Number State | KY
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Taxonomy #9
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 0024193322
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License Number State | VA
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Taxonomy #10
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 4704426738
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License Number State | MI
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Taxonomy #11
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 0036390
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License Number State | OH
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Taxonomy #12
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 197333
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License Number State | TN
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Taxonomy #13
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0036390
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License Number State | OH
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Taxonomy #14
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4704426738
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License Number State | MI
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