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General NPI Number Information
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NPI Number | 1023421302
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Entity Type | Individual
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Provider Name | TAMMY PAWLAK LMFT
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Gender | Female
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Dates
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Enumeration Date | 06/04/2014
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Last Update Date | 03/21/2025
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Provider Practice Location Address
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Address Line | 101 W MAIN ST STE 2
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City | MCMINNVILLE
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State | TN
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Zip | 37110-2682
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Country | US
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Telephone | 931-386-6300
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Fax | 931-386-6301
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Provider Business Mailing Address
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Address Line | 101 W MAIN ST STE 2
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City | MCMINNVILLE
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State | TN
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Zip | 37110-2682
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Country | US
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Telephone | 931-386-6300
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Fax | 931-386-6301
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 2031
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 2031
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License Number State | TN
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