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General NPI Number Information
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NPI Number | 1699530519
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Entity Type | Organization
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Legal Business Name | ADAPT THERAPY SERVICES, LLC
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Dates
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Enumeration Date | 02/20/2024
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Last Update Date | 02/20/2024
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Provider Practice Location Address
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Address Line | 9547 KINGSTON PL
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City | FREDERICK
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State | MD
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Zip | 21701-7663
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Country | US
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Telephone | 410-707-8481
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Fax |
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Provider Business Mailing Address
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Address Line | 9547 KINGSTON PL
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City | FREDERICK
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State | MD
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Zip | 21701-7663
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | DR. RYAN SHEA
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Credential |
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Telephone | 410-707-8481
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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