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General NPI Number Information
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NPI Number | 1952484891
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Entity Type | Individual
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Provider Name | TAMMY LEE CORBETT-ALDERMAN M.A.
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Gender | Female
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 8150-A COURT AVE.
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City | HAMLIN
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State | WV
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Zip | 25523-1438
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Country | US
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Telephone | 304-824-7776
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Fax | 307-824-7776
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Provider Business Mailing Address
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Address Line | 9 BROOKSHIRE DR
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City | HUNTINGTON
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State | WV
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Zip | 25705-2655
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Country | US
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Telephone | 304-736-1438
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Fax | 304-736-1438
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 895
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License Number State | WV
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