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General NPI Number Information
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NPI Number | 1992826481
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Entity Type | Individual
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Provider Name | WAYNE V ADAMS PHD
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Gender | Male
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Dates
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Enumeration Date | 04/02/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 414 N. MERIDIAN STREET
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City | NEWBERG
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State | OR
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Zip | 97132
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Country | US
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Telephone | 503-554-2371
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Fax |
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Provider Business Mailing Address
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Address Line | 2136 THORNE ST
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City | NEWBERG
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State | OR
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Zip | 97132-9516
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Country | US
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Telephone | 503-554-2371
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Fax |
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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 | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | B00001442
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License Number State | OR
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