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NPI Code Detail

MEDICARE: ADAM PRIEBNOW

MEDICARE: ADAM PRIEBNOW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor1731ND

General Provider Information

NPI Number : 1386057123
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADAM PRIEBNOW
Provider Business Mailing Address
First Line : 1201 25TH ST S
Second Line :
City : FARGO
State : ND
Zip : 58103-2311
Country : US
Telephone Number : 701-451-4900
Fax Number : 651-925-0057
Provider Business Practice Location Address
First Line : 2701 12TH AVE S
Second Line :
City : FARGO
State : ND
Zip : 58103-8753
Country : US
Telephone Number : 701-451-4900
Fax Number : 651-925-0057
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2014
Last Update Date : 02/25/2020

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Directions to “ ADAM PRIEBNOW ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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