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General NPI Number Information
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NPI Number | 1144474263
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Entity Type | Individual
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Provider Name | TAMMY POVICH-SHUMATE M.H.S.
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Gender | Female
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Dates
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Enumeration Date | 11/17/2008
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Last Update Date | 03/16/2012
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Provider Practice Location Address
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Address Line | 203 E PITT ST
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City | BEDFORD
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State | PA
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Zip | 15522-1361
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Country | US
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Telephone | 814-799-3888
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Fax |
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Provider Business Mailing Address
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Address Line | 281 SHOENFELT ST
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City | EAST FREEDOM
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State | PA
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Zip | 16637-8032
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Country | US
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Telephone | 814-799-3888
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Fax | 814-624-2452
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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