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General NPI Number Information
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NPI Number | 1124625751
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Entity Type | Organization
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Legal Business Name | TNM SOCIAL SERVICES CONSULTING
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Dates
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Enumeration Date | 10/06/2020
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Last Update Date | 10/06/2020
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Provider Practice Location Address
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Address Line | 827 MORTON RD
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City | ANNISTON
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State | AL
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Zip | 36205-3438
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Country | US
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Telephone | 256-452-7231
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Fax |
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Provider Business Mailing Address
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Address Line | 827 MORTON RD
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City | ANNISTON
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State | AL
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Zip | 36205-3438
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Country | US
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Telephone | 256-452-7231
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. TYCOMA NESHAY MILLER
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Credential | BSW, MPH
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Telephone | 256-452-7231
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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