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General NPI Number Information
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NPI Number | 1932494200
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Entity Type | Individual
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Provider Name | TAMMY LYNN STONE LPC-MHSP
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Gender | Female
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Dates
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Enumeration Date | 06/15/2011
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Last Update Date | 06/15/2011
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Provider Practice Location Address
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Address Line | 218 PEAR ORCHARD DR
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City | GOODLETTSVILLE
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State | TN
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Zip | 37072-1243
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Country | US
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Telephone | 615-351-6285
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Fax | 615-872-2767
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Provider Business Mailing Address
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Address Line | 218 PEAR ORCAHRD DRIVE.
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City | GOODLETTSVILLE
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State | TN
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Zip | 37072
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Country | US
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Telephone | 615-351-6285
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Fax | 615-872-2767
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 000000547
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 0000002263
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License Number State | TN
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