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General NPI Number Information
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NPI Number | 1619756145
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Entity Type | Individual
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Provider Name | ADAM DEFOREST WILSON PH.D.
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Gender | Male
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Dates
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Enumeration Date | 09/25/2023
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Last Update Date | 09/25/2023
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Provider Practice Location Address
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Address Line | 10 BERESFORD CT
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City | SAN MATEO
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State | CA
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Zip | 94403-4597
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Country | US
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Telephone | 607-379-4305
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Fax |
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Provider Business Mailing Address
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Address Line | 1201 MILTON ST
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City | PITTSBURGH
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State | PA
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Zip | 15218-1232
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Country | US
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Telephone |
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY34482
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License Number State | CA
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