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General NPI Number Information
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NPI Number | 1619196821
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Entity Type | Individual
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Provider Name | TONYA GAYLE TATROE LPC
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Gender | Female
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Dates
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Enumeration Date | 04/25/2007
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 103 W FLEEMAN
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City | MANILA
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State | AR
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Zip | 72442-0835
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Country | US
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Telephone | 870-919-6585
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Fax |
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Provider Business Mailing Address
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Address Line | 305 OSCEOLA CT
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City | NICEVILLE
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State | FL
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Zip | 32578-3703
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Country | US
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Telephone | 870-919-6585
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | P0907044
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | A0703029
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License Number State | AR
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