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General NPI Number Information
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NPI Number | 1851576532
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Entity Type | Individual
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Provider Name | NIKOLAS BJORN ADAMSSON JD, PHD, M(AD), MC/M
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Gender | Male
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Dates
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Enumeration Date | 12/31/2007
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Last Update Date | 07/24/2012
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Provider Practice Location Address
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Address Line | 10350 SOUTH MCKINLEY AVENUE
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City | FRENCH CAMP
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State | CA
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Zip | 95231
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Country | US
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Telephone | 209-323-4426
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Fax | 209-323-4728
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Provider Business Mailing Address
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Address Line | 3739 NOTRE DAME AVENUE
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City | MERCED
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State | CA
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Zip | 94348
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Country | US
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Telephone | 209-918-3759
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Fax | 209-521-0566
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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 | RAS A0605161338
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | IMF48761
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFC51258
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | A0605161338
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License Number State | CA
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