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General NPI Number Information
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NPI Number | 1982032025
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Entity Type | Organization
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Legal Business Name | ADAM B. WARSHOWSKY, PHD, PSYCHOLOGICAL SERVICES, LLC
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Dates
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Enumeration Date | 10/29/2013
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Last Update Date | 10/29/2013
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Provider Practice Location Address
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Address Line | 278 WALESKA RD
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City | CANTON
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State | GA
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Zip | 30114-2441
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Country | US
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Telephone | 770-597-9837
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Fax |
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Provider Business Mailing Address
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Address Line | 278 WALESKA RD
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City | CANTON
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State | GA
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Zip | 30114-2441
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | NEUROPSYCHOLOGIST
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Name | ADAM WARSHOWSKY
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Credential |
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Telephone | 770-597-9837
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 003327
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License Number State | GA
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