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General NPI Number Information
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NPI Number | 1093555393
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Entity Type | Individual
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Provider Name | TIFFANY AKIBA NP
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Gender | Female
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Dates
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Enumeration Date | 05/27/2024
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Last Update Date | 06/03/2024
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Provider Practice Location Address
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Address Line | 550 1ST AVE
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City | NEW YORK
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State | NY
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Zip | 10016-6402
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Country | US
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Telephone | 646-929-7800
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Fax |
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Provider Business Mailing Address
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Address Line | 330 E 52ND ST APT 31
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City | NEW YORK
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State | NY
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Zip | 10022-6719
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Country | US
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Telephone | 917-549-6766
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F354164-01
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | F354164-01
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License Number State | NY
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