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General NPI Number Information
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NPI Number | 1104736743
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Entity Type | Individual
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Provider Name | TIFFANY ROLLINS ED.S.
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Gender | Female
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Dates
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Enumeration Date | 09/08/2026
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Last Update Date | 09/08/2026
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Provider Practice Location Address
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Address Line | 5721 SEAMAN RD
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City | OREGON
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State | OH
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Zip | 43616-2631
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Country | US
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Telephone | 419-698-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 3948 BOWEN RD
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City | TOLEDO
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State | OH
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Zip | 43613-4320
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Country | US
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Telephone | 734-693-1452
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | LSP.02552
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License Number State | OH
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