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General NPI Number Information
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NPI Number | 1891661781
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Entity Type | Organization
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Legal Business Name | ADAPT
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Dates
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Enumeration Date | 10/16/2025
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Last Update Date | 10/16/2025
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Provider Practice Location Address
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Address Line | 625 PIONEER ROARD
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City | BROOKINGS
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State | OR
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Zip | 97415-8293
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Country | US
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Telephone | 541-347-2529
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Fax | 541-347-9196
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Provider Business Mailing Address
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Address Line | 621 W MADRONE ST
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City | ROSEBURG
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State | OR
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Zip | 97470-3090
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Country | US
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Telephone | 541-492-0134
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Fax | 541-492-0190
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Authorized Official
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Title or Position | DIRECTOR OR REVENUE CYCLE
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Name | DEBBIE L PHILLIPS
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Credential |
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Telephone | 541-492-0134
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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