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General NPI Number Information
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NPI Number | 1114331956
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Entity Type | Individual
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Provider Name | TIFFANY INMAN AU.D, CCC-A. F-AAA
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Gender | Female
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Dates
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Enumeration Date | 06/19/2014
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Last Update Date | 07/22/2020
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Provider Practice Location Address
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Address Line | 1635 W BIG BEAVER RD
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City | TROY
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State | MI
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Zip | 48084-3501
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Country | US
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Telephone | 248-839-5439
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Fax | 248-244-8604
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Provider Business Mailing Address
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Address Line | 1635 W BIG BEAVER RD
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City | TROY
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State | MI
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Zip | 48084-3501
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Country | US
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Telephone | 248-839-5439
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Fax | 248-244-8604
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 1601000681
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License Number State | MI
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