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General NPI Number Information
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NPI Number | 1083963318
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Entity Type | Individual
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Provider Name | TIFFANY RYAN BELL PHARMD
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Gender | Female
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Dates
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Enumeration Date | 08/31/2012
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Last Update Date | 07/18/2025
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Provider Practice Location Address
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Address Line | 428 22ND STREET
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City | FORT GORDON
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State | GA
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Zip | 30905
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Country | US
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Telephone | 706-787-7755
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Fax |
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Provider Business Mailing Address
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Address Line | 428 22ND STREET 428 22ND STREET
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City | FORT GORDON
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State | GA
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Zip | 30905-6183
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Country | US
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Telephone | 706-787-7755
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 12232
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 1835P2201X
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Taxonomy Name | Ambulatory Care Pharmacist
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License Number | 12232
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License Number State | SC
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