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General NPI Number Information
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NPI Number | 1497190631
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Entity Type | Individual
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Provider Name | TAMMY ANDERSON DOM
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Gender | Female
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Dates
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Enumeration Date | 05/01/2013
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Last Update Date | 04/07/2022
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Provider Practice Location Address
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Address Line | 32 OFFICE PARK RD STE 302
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City | HILTON HEAD
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State | SC
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Zip | 29928-4640
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Country | US
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Telephone | 843-949-9688
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Fax |
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Provider Business Mailing Address
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Address Line | 32 OFFICE PARK RD STE 302
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City | HILTON HEAD
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State | SC
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Zip | 29928-4640
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Country | US
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Telephone | 843-949-9688
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AP3158
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License Number State | FL
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