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General NPI Number Information
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NPI Number | 1700713773
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Entity Type | Individual
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Provider Name | TAMMY LYNN LOUCKS
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Gender | Female
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Dates
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Enumeration Date | 05/05/2026
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Last Update Date | 05/05/2026
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Provider Practice Location Address
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Address Line | 590 NW PEACOCK BLVD STE 10
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34986-2213
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Country | US
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Telephone | 772-361-6767
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Fax |
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Provider Business Mailing Address
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Address Line | 4740 N STATE ROAD 7 STE 201
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City | LAUDERDALE LAKES
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State | FL
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Zip | 33319-5839
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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