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General NPI Number Information
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NPI Number | 1497801484
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Entity Type | Individual
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Provider Name | KERITH ANN TARANTINO PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 01/25/2007
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Last Update Date | 12/08/2023
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Provider Practice Location Address
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Address Line | 231 COUNTRYSIDE DR
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City | FRANKLIN
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State | TN
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Zip | 37069-4124
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Country | US
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Telephone | 253-307-4521
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Fax |
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Provider Business Mailing Address
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Address Line | 1191 BAKERS WORK RD
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City | BURNS
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State | TN
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Zip | 37029-5614
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Country | US
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Telephone |
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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