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General NPI Number Information
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NPI Number | 1689522690
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Entity Type | Individual
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Provider Name | DR. TAMMY JOLIVETTE
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Gender | Female
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Dates
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Enumeration Date | 03/17/2026
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Last Update Date | 03/17/2026
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Provider Practice Location Address
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Address Line | 1001 S DAIRY ASHFORD RD
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City | HOUSTON
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State | TX
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Zip | 77077-2375
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Country | US
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Telephone | 334-246-1313
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Fax |
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Provider Business Mailing Address
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Address Line | 22400 WESTHEIMER PKWY APT 610
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City | KATY
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State | TX
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Zip | 77450-8274
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Country | US
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Telephone | 832-834-2932
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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 | 40746
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License Number State | TX
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