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General NPI Number Information
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NPI Number | 1053534768
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Entity Type | Individual
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Provider Name | MS. TAMMY CHRISTINE DYER
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Gender | Female
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 02/04/2020
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Provider Practice Location Address
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Address Line | 15301 WARREN SHINGLE RD
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City | BEALE AFB
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State | CA
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Zip | 95903-1907
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Country | US
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Telephone | 530-634-0457
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Fax |
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Provider Business Mailing Address
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Address Line | 3321 POWER INN RD SUITE 110
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City | SACRAMENTO
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State | CA
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Zip | 95826-3890
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Country | US
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Telephone | 916-893-0015
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 24635
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License Number State | CA
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