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General NPI Number Information
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NPI Number | 1598827024
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Entity Type | Individual
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Provider Name | TAMMY KAY MEYER MA
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Gender | Female
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Dates
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Enumeration Date | 12/14/2006
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Last Update Date | 10/26/2009
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Provider Practice Location Address
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Address Line | 4620 17TH ST
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City | SARASOTA
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State | FL
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Zip | 34235-1843
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Country | US
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Telephone | 941-650-7757
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Fax |
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Provider Business Mailing Address
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Address Line | 22331 HERNANDO AVE
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City | PORT CHARLOTTE
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State | FL
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Zip | 33952-5524
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Country | US
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Telephone | 941-815-1421
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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 | IMH 5901
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH 9712
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License Number State | FL
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