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General NPI Number Information
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NPI Number | 1649596222
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Entity Type | Individual
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Provider Name | EVE P. ADAMS PHD.
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Gender | Female
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Dates
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Enumeration Date | 04/08/2010
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Last Update Date | 04/08/2010
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Provider Practice Location Address
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Address Line | 2112 MILLBURN AVENUE SUITE 102B
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City | MAPLEWOOD
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State | NJ
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Zip | 07040
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Country | US
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Telephone | 973-666-3518
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Fax |
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Provider Business Mailing Address
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Address Line | 20 N 21ST ST
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City | EAST ORANGE
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State | NJ
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Zip | 07017-4808
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Country | US
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Telephone | 973-666-3518
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Fax | 973-675-0830
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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 | TP# 083-966
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License Number State | NJ
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