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General NPI Number Information
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NPI Number | 1558944843
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Entity Type | Organization
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Legal Business Name | ADRIAN FIELDS LMHC AND ASSOCIATES, PLLC
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Dates
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Enumeration Date | 05/04/2021
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Last Update Date | 05/04/2021
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Provider Practice Location Address
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Address Line | 17 MAIN ST
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City | SAYVILLE
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State | NY
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Zip | 11782-2562
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Country | US
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Telephone | 631-885-1212
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Fax |
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Provider Business Mailing Address
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Address Line | 17 MAIN ST
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City | SAYVILLE
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State | NY
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Zip | 11782-2562
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Country | US
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Telephone | 631-885-1212
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ADRIAN FIELDS BOYER
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Credential | LMHC
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Telephone | 631-885-1212
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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