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General NPI Number Information
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NPI Number | 1144457185
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Entity Type | Organization
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Legal Business Name | TAMM, LLC
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Dates
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Enumeration Date | 06/17/2009
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Last Update Date | 06/17/2009
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Provider Practice Location Address
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Address Line | 105 W CORBIN ST SUITE 203
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City | HILLSBOROUGH
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State | NC
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Zip | 27278-2190
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Country | US
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Telephone | 919-241-5292
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Fax | 919-241-4323
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Provider Business Mailing Address
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Address Line | 105 W CORBIN ST SUITE 203
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City | HILLSBOROUGH
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State | NC
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Zip | 27278-2190
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Country | US
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Telephone | 919-241-5292
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Fax | 919-241-4323
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Authorized Official
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Title or Position | COO/OWNER
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Name | DR. TORI WILLIAMS REID
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Credential | PH.D.
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Telephone | 919-241-5292
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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