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NPI Code Detail

MEDICARE: LINDA JOANNE ADAMS

MEDICARE:   LINDA JOANNE ADAMS
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
1322D00000XEmotionally Disturbed Childrens' Residential Treatment FacilityIMF 46151CA

General Provider Information

NPI Number : 1932211448
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDA JOANNE ADAMS
Provider Business Mailing Address
First Line : PO BOX 669
Second Line :
City : NEVADA CITY
State : CA
Zip : 95959
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 24077 STATE HIGHWAY 49
Second Line :
City : NEVADA CITY
State : CA
Zip : 95959-8519
Country : US
Telephone Number : 530-265-9057
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2006
Last Update Date : 07/08/2007

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Directions to “ LINDA JOANNE ADAMS ” Practice Location

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