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General NPI Number Information
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NPI Number | 1770960734
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Entity Type | Organization
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Legal Business Name | CASSANDRA ADAMS, PHD, PLLC
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Dates
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Enumeration Date | 04/29/2015
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Last Update Date | 06/01/2015
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Provider Practice Location Address
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Address Line | 5000 LEGACY DRIVE SUITE 400
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City | PLANO
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State | TX
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Zip | 75024-3112
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Country | US
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Telephone | 972-800-9540
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Fax | 972-473-7699
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Provider Business Mailing Address
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Address Line | 5000 LEGACY DRIVE SUITE 400
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City | PLANO
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State | TX
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Zip | 75024-3112
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Country | US
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Telephone | 972-800-9540
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Fax | 972-473-7699
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Authorized Official
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Title or Position | MANAGER
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Name | CASSANDRA LEIGH ADAMS
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Credential | M.S., PH.D.
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Telephone | 972-800-9540
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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 | 36516
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License Number State | TX
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