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General NPI Number Information
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NPI Number | 1821615048
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Entity Type | Individual
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Provider Name | TAMARAH MARIE EPPS
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Gender | Female
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Dates
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Enumeration Date | 07/03/2020
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Last Update Date | 07/03/2020
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Provider Practice Location Address
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Address Line | 6131 MELODY LN
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City | DALLAS
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State | TX
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Zip | 75231-9503
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Country | US
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Telephone | 817-941-5562
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Fax |
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Provider Business Mailing Address
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Address Line | 6131 MELODY LN APT 3038
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City | DALLAS
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State | TX
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Zip | 75231-6774
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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 | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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