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General NPI Number Information
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NPI Number | 1922703727
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Entity Type | Individual
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Provider Name | TAMARA C MCGILLCARTER ED.D, NPT-C, LMHCA
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Gender | Female
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Dates
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Enumeration Date | 04/03/2023
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Last Update Date | 04/17/2025
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Provider Practice Location Address
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Address Line | 5490 BROADWAY STE 101
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City | MERRILLVILLE
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State | IN
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Zip | 46410-1676
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Country | US
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Telephone | 219-427-0866
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Fax |
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Provider Business Mailing Address
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Address Line | 5085 MADISON ST
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City | GARY
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State | IN
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Zip | 46408-4642
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Country | US
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Telephone | 219-427-0866
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 88002816A
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License Number State | IN
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