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General NPI Number Information
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NPI Number | 1063707131
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Entity Type | Individual
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Provider Name | TAMMY L. WOODYARD-POWELL PCC
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Gender | Female
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Dates
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Enumeration Date | 06/16/2011
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Last Update Date | 10/17/2023
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Provider Practice Location Address
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Address Line | 714 EATON AVE
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City | HAMILTON
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State | OH
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Zip | 45013-4602
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Country | US
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Telephone | 513-887-5170
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Fax | 513-887-5186
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Provider Business Mailing Address
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Address Line | 6248 DAVON CT
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City | LOVELAND
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State | OH
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Zip | 45140-6927
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Country | US
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Telephone | 513-300-8219
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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 | E-1000046
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | E.1000046-SUPV
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License Number State | OH
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