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General NPI Number Information
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NPI Number | 1861407678
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Entity Type | Individual
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Provider Name | TAMMY L. WIGGINTON M.S.
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Gender | Female
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Dates
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Enumeration Date | 07/30/2006
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Last Update Date | 08/02/2019
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Provider Practice Location Address
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Address Line | 740 SOUTH LIMESTONE B301 3RD FLOOR WING C
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City | LEXINGTON
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State | KY
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Zip | 40536-3522
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Country | US
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Telephone | 859-257-0143
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Fax |
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Provider Business Mailing Address
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Address Line | 10000 W INNOVATION DR
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City | MILWAUKEE
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State | WI
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Zip | 53226-4837
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Country | US
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Telephone | 414-456-5006
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Fax | 414-456-6259
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 143550
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License Number State | KY
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