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General NPI Number Information
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NPI Number | 1780200352
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Entity Type | Organization
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Legal Business Name | TAMMY B. BRINGAZE PHD PLLC
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Dates
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Enumeration Date | 06/19/2020
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Last Update Date | 06/29/2020
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Provider Practice Location Address
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Address Line | 199 MAIN ST STE 3
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City | NORTHAMPTON
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State | MA
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Zip | 01060-3151
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Country | US
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Telephone | 413-341-2524
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Fax |
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Provider Business Mailing Address
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Address Line | 199 MAIN ST STE 3
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City | NORTHAMPTON
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State | MA
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Zip | 01060-3151
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Country | US
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Telephone | 413-341-2524
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Fax |
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Authorized Official
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Title or Position | OWNER/PSYCHOTHERAPIST
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Name | DR. TAMMY B BRINGAZE
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Credential | LMHC, PHD
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Telephone | 413-320-5533
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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