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Individual
DR. SCOTT ADAMS
Active
Individual
DR. SCOTT ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
016647
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0153005
GHI
NY
01
—
584007
VALUE OPTIONS
NY
Enumeration date
09/21/2007
Last updated
09/21/2007
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