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General NPI Number Information
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NPI Number | 1356874754
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Entity Type | Individual
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Provider Name | TAMMY STARR LPCC
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Gender | Female
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Dates
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Enumeration Date | 04/04/2017
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Last Update Date | 05/21/2018
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Provider Practice Location Address
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Address Line | 107 CRANES ROOST CT
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City | ELIZABETHTOWN
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State | KY
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Zip | 42701
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Country | US
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Telephone | 270-765-2605
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Fax |
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Provider Business Mailing Address
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Address Line | 2025 BYPASS RD
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City | BRANDENBURG
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State | KY
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Zip | 40108-1605
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Country | US
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Telephone | 270-422-3971
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 171669
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 239698
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License Number State | KY
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