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General NPI Number Information
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NPI Number | 1316762107
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Entity Type | Individual
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Provider Name | TAMMIE MCELHINNY CPO, CFM
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Gender | Female
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Dates
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Enumeration Date | 11/18/2024
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Last Update Date | 11/18/2024
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Provider Practice Location Address
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Address Line | 900 WATER ST # 6.1
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City | MEADVILLE
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State | PA
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Zip | 16335-3428
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Country | US
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Telephone | 814-547-4766
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Fax |
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Provider Business Mailing Address
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Address Line | 14074 MIDDLE RD
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City | MEADVILLE
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State | PA
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Zip | 16335-7544
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Country | US
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Telephone | 814-547-4766
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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 | 222Z00000X
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Taxonomy Name | Orthotist
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License Number | OH000038
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 224P00000X
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Taxonomy Name | Prosthetist
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License Number | PO000018
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 224900000X
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Taxonomy Name | Mastectomy Fitter
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License Number | 2057
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License Number State | PA
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