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General NPI Number Information
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NPI Number | 1023614294
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Entity Type | Individual
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Provider Name | TIFFANY MARIE TOWNSEND FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 12/11/2020
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Last Update Date | 06/27/2025
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Provider Practice Location Address
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Address Line | 655 SAWMILL RD STE 4
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City | WEST HAVEN
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State | CT
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Zip | 06516-3964
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Country | US
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Telephone | 203-535-0391
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Fax | 877-427-6184
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Provider Business Mailing Address
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Address Line | 655 SAWMILL RD STE 4
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City | WEST HAVEN
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State | CT
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Zip | 06516-3964
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Country | US
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Telephone | 203-535-0391
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Fax | 877-427-6184
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 345510
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License Number State | NY
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