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General NPI Number Information
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NPI Number | 1568801421
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Entity Type | Individual
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Provider Name | THOMAS SCOTT ADANALIAN LCSW, LAC
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Gender | Male
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Dates
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Enumeration Date | 06/24/2013
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Last Update Date | 08/01/2018
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Provider Practice Location Address
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Address Line | 8774 YATES DR STE 350
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City | WESTMINSTER
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State | CO
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Zip | 80031
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Country | US
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Telephone | 303-884-6768
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Fax |
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Provider Business Mailing Address
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Address Line | 7633 GRAY WAY
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City | ARVADA
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State | CO
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Zip | 80003-5815
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Country | US
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Telephone | 303-884-6768
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | ACD.0000668
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CSW.09923980
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License Number State | CO
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