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General NPI Number Information
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NPI Number | 1821339094
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Entity Type | Individual
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Provider Name | DR. TOLONDA TATE
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Gender | Female
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Dates
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Enumeration Date | 03/12/2013
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Last Update Date | 06/18/2024
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Provider Practice Location Address
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Address Line | 346 OFFICE PLAZA DR
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City | TALLAHASSEE
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State | FL
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Zip | 32301-2730
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Country | US
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Telephone | 850-345-0405
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Fax | 850-727-0541
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Provider Business Mailing Address
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Address Line | 5375 APPLEDORE LN
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City | TALLAHASSEE
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State | FL
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Zip | 32309-6867
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Country | US
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Telephone | 850-345-0405
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 4193
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH 11832
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License Number State | FL
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