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General NPI Number Information
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NPI Number | 1003680125
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Entity Type | Individual
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Provider Name | TIFFANY TAGGART RILEY DNP, FNP-BC, APRN
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Gender | Female
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Dates
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Enumeration Date | 11/09/2023
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Last Update Date | 11/05/2024
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Provider Practice Location Address
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Address Line | 9601 BAPTIST HEALTH DR STE 860
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City | LITTLE ROCK
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State | AR
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Zip | 72205-6375
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Country | US
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Telephone | 501-975-7456
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Fax | 501-978-1822
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Provider Business Mailing Address
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Address Line | 4261 STOCKTON DR STE LL100
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City | NORTH LITTLE ROCK
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State | AR
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Zip | 72117-2966
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Country | US
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Telephone | 501-975-7456
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 230675
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 163WS0200X
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Taxonomy Name | School Registered Nurse
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License Number | R107327
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License Number State | AR
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