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General NPI Number Information
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NPI Number | 1043661887
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Entity Type | Individual
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Provider Name | TIFFANY CLATO-DAY
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Gender | Female
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Dates
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Enumeration Date | 06/22/2016
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Last Update Date | 06/18/2023
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Provider Practice Location Address
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Address Line | 9509 FM 1960 BYPASS RD W
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City | HUMBLE
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State | TX
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Zip | 77338-4491
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Country | US
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Telephone | 281-588-0068
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Fax |
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Provider Business Mailing Address
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Address Line | 6411 HIGHLAND PINE LN
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City | HOUSTON
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State | TX
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Zip | 77091-2267
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Country | US
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Telephone | 352-328-0365
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 33240
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License Number State | TX
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