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General NPI Number Information
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NPI Number | 1346548013
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Entity Type | Individual
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Provider Name | TAMMY PIGFORD M.S., ADV. CERT.
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Gender | Female
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Dates
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Enumeration Date | 03/04/2011
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Last Update Date | 03/04/2011
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Provider Practice Location Address
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Address Line | 60 MADISON AVE FL 8
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City | NEW YORK
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State | NY
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Zip | 10010-1676
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Country | US
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Telephone | 212-684-0099
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Fax |
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Provider Business Mailing Address
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Address Line | 921 MYRTLE AVE APT 15A
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City | BROOKLYN
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State | NY
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Zip | 11206-6524
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Country | US
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Telephone | 347-898-6964
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1925404
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License Number State | NY
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