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General NPI Number Information
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NPI Number | 1932390382
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Entity Type | Individual
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Provider Name | MARY J ADAMS LMFT, LAT
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Gender | Female
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Dates
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Enumeration Date | 08/08/2007
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Last Update Date | 12/01/2011
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Provider Practice Location Address
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Address Line | 721 E LINCOLNWAY
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City | CHEYENNE
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State | WY
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Zip | 82001-4703
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Country | US
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Telephone | 307-220-0485
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Fax | 307-638-2104
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Provider Business Mailing Address
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Address Line | 721 EAST LINCOLNWAY
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City | CHEYENNE
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State | WY
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Zip | 82001-4703
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Country | US
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Telephone | 307-220-0485
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Fax | 307-638-2104
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 076
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License Number State | WY
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 252
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License Number State | WY
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