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General NPI Number Information
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NPI Number | 1750935417
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Entity Type | Individual
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Provider Name | S BIBIANA ADAMES PHD
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Gender | Female
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Dates
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Enumeration Date | 07/30/2019
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Last Update Date | 03/06/2024
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Provider Practice Location Address
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Address Line | 537 S DEARBORN ST APT 5D
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City | CHICAGO
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State | IL
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Zip | 60605-1538
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Country | US
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Telephone | 312-513-9221
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Fax |
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Provider Business Mailing Address
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Address Line | 537 S DEARBORN ST APT 5D
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City | CHICAGO
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State | IL
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Zip | 60605-1538
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Country | US
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Telephone | 312-513-9221
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 071009324
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License Number State | IL
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