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General NPI Number Information
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NPI Number | 1851784797
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Entity Type | Individual
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Provider Name | TASHAE M TATE-MILLER
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Gender | Female
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Dates
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Enumeration Date | 03/17/2015
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 2000 CENTER POINT RD STE 2350
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City | COLUMBIA
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State | SC
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Zip | 29210-5826
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Country | US
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Telephone | 843-501-1099
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Fax | 843-405-2040
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Provider Business Mailing Address
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Address Line | 11059 E BETHANY DR STE 200
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City | AURORA
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State | CO
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Zip | 80014-2637
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Country | US
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Telephone | 303-617-2300
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Fax | 303-617-2365
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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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 | 9387
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License Number State | SC
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