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General NPI Number Information
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NPI Number | 1629297767
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Entity Type | Individual
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Provider Name | ERNEST HENRY ADAMS PHD
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Gender | Male
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Dates
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Enumeration Date | 04/25/2007
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Last Update Date | 03/18/2011
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Provider Practice Location Address
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Address Line | 19 W 34TH ST PENTHOUSE
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City | NEW YORK
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State | NY
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Zip | 10001-3006
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Country | US
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Telephone | 212-947-7111
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Fax |
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Provider Business Mailing Address
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Address Line | 412 W 110TH ST APT: 101
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City | NEW YORK
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State | NY
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Zip | 10025-2477
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Country | US
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Telephone | 917-751-5394
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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 | 009975-1
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License Number State | NY
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