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General NPI Number Information
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NPI Number | 1821167081
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Entity Type | Individual
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Provider Name | TYRONE LEE ADAMSON LPC, LADC
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Gender | Male
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Dates
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Enumeration Date | 11/06/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 4009 EUFAULA AVE
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City | MUSKOGEE
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State | OK
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Zip | 74403-1132
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Country | US
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Telephone | 918-682-2841
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Fax | 918-682-3359
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Provider Business Mailing Address
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Address Line | 911 W MARTIN LUTHER KING ST
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City | MUSKOGEE
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State | OK
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Zip | 74401-3742
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Country | US
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Telephone | 918-682-7192
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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 | 487
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 3130
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License Number State | OK
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