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General NPI Number Information
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NPI Number | 1659740728
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Entity Type | Organization
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Legal Business Name | BEN ADAMS COUNSELING, LLC
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Dates
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Enumeration Date | 09/18/2015
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Last Update Date | 09/18/2015
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Provider Practice Location Address
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Address Line | 406 MAIN ST
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City | EDMONDS
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State | WA
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Zip | 98020-3166
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Country | US
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Telephone | 206-552-0562
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Fax |
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Provider Business Mailing Address
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Address Line | 406 MAIN ST
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City | EDMONDS
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State | WA
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Zip | 98020-3166
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Country | US
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Telephone | 206-552-0562
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BENJAMIN WILLIAM ADAMS
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Credential | M.A.
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Telephone | 206-552-0562
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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 | MC60555798
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License Number State | WA
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