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General NPI Number Information
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NPI Number | 1760617252
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Entity Type | Individual
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Provider Name | NIKKI ADAMS CAADE
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Gender | Female
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Dates
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Enumeration Date | 05/27/2009
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Last Update Date | 05/27/2009
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Provider Practice Location Address
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Address Line | 1950 ALAMEDA DE LAS PULGAS
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City | SAN MATEO
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State | CA
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Zip | 94403-1222
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Country | US
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Telephone | 650-573-2302
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Fax |
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Provider Business Mailing Address
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Address Line | 1487 HUNTINGTON AVE
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City | SOUTH SAN FRANCISCO
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State | CA
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Zip | 94080-5933
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Country | US
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Telephone | 650-877-5683
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Fax | 650-877-5606
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CAADE 200383
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License Number State | CA
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