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General NPI Number Information
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NPI Number | 1104775089
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Entity Type | Individual
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Provider Name | TIFFANY CHESTER YERGER PT, MPT
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Gender | Female
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Dates
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Enumeration Date | 01/24/2026
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Last Update Date | 01/24/2026
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Provider Practice Location Address
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Address Line | 2200 HIGHWAY 61 N STE 1200
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City | VICKSBURG
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State | MS
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Zip | 39183-8246
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Country | US
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Telephone | 601-883-3506
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Fax | 601-883-3501
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Provider Business Mailing Address
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Address Line | 2915 HIGHWAY 602
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City | TALLULAH
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State | LA
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Zip | 71282-5858
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Country | US
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Telephone | 225-281-8192
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 6336
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 04419
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License Number State | LA
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