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General NPI Number Information
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NPI Number | 1679235840
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Entity Type | Individual
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Provider Name | DEAN ADAMS LMSW
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Gender | Male
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Dates
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Enumeration Date | 10/06/2021
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Last Update Date | 10/06/2021
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Provider Practice Location Address
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Address Line | 1030 N FULTON AVE
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City | LINDENHURST
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State | NY
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Zip | 11757-2121
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Country | US
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Telephone | 732-440-8166
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Fax |
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Provider Business Mailing Address
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Address Line | 51 FINLAY AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10309-3513
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Country | US
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Telephone | 718-514-1797
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 113132
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License Number State | NY
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