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General NPI Number Information
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NPI Number | 1134091861
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Entity Type | Individual
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Provider Name | TAMARA TOLLIVER
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Gender | Female
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Dates
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Enumeration Date | 09/22/2025
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 9701 PHILADELPHIA CT
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City | LANHAM
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State | MD
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Zip | 20706-4400
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Country | US
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Telephone | 301-210-4860
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Fax |
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Provider Business Mailing Address
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Address Line | 10095 WASHINGTON BLVD N APT 106
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City | LAUREL
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State | MD
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Zip | 20723-1950
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Country | US
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Telephone | 347-557-4356
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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 | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number | 33437
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License Number State | MD
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