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General NPI Number Information
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NPI Number | 1851213599
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Entity Type | Individual
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Provider Name | MRS. TAMMERRIE ANN NOLEN
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Gender | Female
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Dates
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Enumeration Date | 07/27/2026
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Last Update Date | 07/27/2026
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Provider Practice Location Address
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Address Line | 275 W 12TH ST
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City | PERU
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State | IN
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Zip | 46970-1638
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Country | US
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Telephone | 317-204-3736
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Fax |
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Provider Business Mailing Address
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Address Line | 3137 SUMMIT AVE
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City | LOGANSPORT
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State | IN
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Zip | 46947-2139
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Country | US
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Telephone | 317-204-3736
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 06007133A
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License Number State | IN
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