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General NPI Number Information
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NPI Number | 1790754166
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Entity Type | Individual
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Provider Name | TAMMY J STILLION MA, PCC-S, LICDC
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Gender | Female
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Dates
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Enumeration Date | 03/16/2006
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Last Update Date | 07/10/2018
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Provider Practice Location Address
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Address Line | 44020 MARIETTA RD
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City | CALDWELL
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State | OH
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Zip | 43724-9124
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Country | US
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Telephone | 740-732-5233
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Fax | 740-732-4777
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Provider Business Mailing Address
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Address Line | 2845 BELL ST
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City | ZANESVILLE
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State | OH
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Zip | 43701-1720
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Country | US
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Telephone | 740-454-9766
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Fax | 740-588-6452
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | LICDC.161637
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | E3825
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License Number State | OH
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