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General NPI Number Information
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NPI Number | 1083203665
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Entity Type | Individual
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Provider Name | TIFFANY M COLSTON MSN, APRN, CNP
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Gender | Female
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Dates
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Enumeration Date | 01/18/2021
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Last Update Date | 03/20/2025
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Provider Practice Location Address
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Address Line | 6789 RIDGE RD STE 305
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City | PARMA
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State | OH
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Zip | 44129-5635
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Country | US
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Telephone | 888-880-3451
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Fax |
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Provider Business Mailing Address
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Address Line | 415 E WATER ST
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City | OAK HARBOR
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State | OH
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Zip | 43449-1534
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Country | US
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Telephone | 419-707-0892
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | LE-00035116
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | APRN.CNP.0028286
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License Number State | OH
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