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General NPI Number Information
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NPI Number | 1841370293
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Entity Type | Individual
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Provider Name | SANDRA A ADAMS LCSW
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Gender | Female
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Dates
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Enumeration Date | 10/17/2006
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Last Update Date | 09/20/2010
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Provider Practice Location Address
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Address Line | 528 COTTAGE ST NE SUITE 300
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City | SALEM
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State | OR
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Zip | 97301-3811
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Country | US
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Telephone | 503-375-7733
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Fax | 503-362-3881
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Provider Business Mailing Address
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Address Line | PO BOX 5092
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City | SALEM
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State | OR
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Zip | 97304-0092
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Country | US
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Telephone | 503-375-7733
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Fax | 503-362-3881
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | L4165
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License Number State | OR
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