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General NPI Number Information
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NPI Number | 1053071217
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Entity Type | Individual
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Provider Name | HEATHER TALLMON LMHC
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Gender | Female
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Dates
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Enumeration Date | 12/29/2021
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 100 INDEPENDENCE DR # 8
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City | HYANNIS
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State | MA
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Zip | 02601-1898
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Country | US
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Telephone | 183-950-8778
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Fax |
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Provider Business Mailing Address
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Address Line | 13 FUNN POND RD
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City | SOUTH DENNIS
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State | MA
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Zip | 02660-1906
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Country | US
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Telephone | 774-313-7307
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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