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General NPI Number Information
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NPI Number | 1952716193
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Entity Type | Organization
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Legal Business Name | DR TAMMY SALTZMAN-GORN, PSYD LLC
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Dates
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Enumeration Date | 06/26/2014
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Last Update Date | 06/26/2014
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Provider Practice Location Address
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Address Line | 3665 BEE RIDGE RD SUITE 306
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City | SARASOTA
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State | FL
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Zip | 34233-1054
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Country | US
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Telephone | 941-929-5512
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Fax |
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Provider Business Mailing Address
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Address Line | 1783 FORTUNA ST
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City | SARASOTA
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State | FL
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Zip | 34239-5910
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Country | US
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Telephone | 941-929-5512
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | TAMMY SALTZMAN-GORN
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Credential | PSYD
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Telephone | 941-929-5512
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY8578
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License Number State | FL
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