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General NPI Number Information
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NPI Number | 1679500953
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Entity Type | Organization
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Legal Business Name | A&M PSYCHIATRIC SERVICES PA
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Dates
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Enumeration Date | 06/26/2006
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Last Update Date | 01/27/2022
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Provider Practice Location Address
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Address Line | 1938 SOULE RD
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City | CLEARWATER
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State | FL
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Zip | 33759-1507
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Country | US
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Telephone | 727-726-7442
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Fax | 727-288-1111
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Provider Business Mailing Address
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Address Line | 1938 SOULE RD
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City | CLEARWATER
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State | FL
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Zip | 33759-1507
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Country | US
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Telephone | 727-726-7442
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Fax | 727-288-1111
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Authorized Official
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Title or Position | OWNER
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Name | JOSEPH I ADAN
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Credential | MD
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Telephone | 727-726-7442
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | OCL0014825
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License Number State | FL
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