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General NPI Number Information
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NPI Number | 1770854283
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Entity Type | Individual
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Provider Name | MS. BEVERLY ANN ADAMS
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Gender | Female
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Dates
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Enumeration Date | 01/16/2012
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Last Update Date | 01/16/2012
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Provider Practice Location Address
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Address Line | 121 NW 20TH ST APT. 1
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City | OKLAHOMA CITY
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State | OK
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Zip | 73103-4418
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Country | US
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Telephone | 405-503-0109
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Fax |
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Provider Business Mailing Address
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Address Line | 121 NW 20TH ST APT. 1
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City | OKLAHOMA CITY
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State | OK
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Zip | 73103-4418
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Country | US
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Telephone | 405-503-0109
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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