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General NPI Number Information
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NPI Number | 1396184818
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Entity Type | Organization
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Legal Business Name | PSYCHOLOGY AND REHABILITATION SERVICES, P.A.
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Dates
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Enumeration Date | 06/18/2013
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Last Update Date | 06/18/2013
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Provider Practice Location Address
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Address Line | 3494 WEEMS RD STE. B-2
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City | TALLAHASSEE
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State | FL
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Zip | 32317-7503
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Country | US
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Telephone | 850-523-4261
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Fax | 850-523-4214
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Provider Business Mailing Address
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Address Line | 3494 WEEMS RD STE. B-2
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City | TALLAHASSEE
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State | FL
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Zip | 32317-7503
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Country | US
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Telephone | 850-523-4261
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Fax | 850-523-4214
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. TAMMY MAE CHAPMAN
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Credential | PH.D.
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Telephone | 850-523-4261
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY0005988
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License Number State | FL
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