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General NPI Number Information
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NPI Number | 1124879895
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Entity Type | Individual
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Provider Name | TIFFANY SMITH STARKS
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Gender | Female
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Dates
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Enumeration Date | 03/29/2024
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Last Update Date | 12/30/2025
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Provider Practice Location Address
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Address Line | 1125 9TH ST
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City | SACRAMENTO
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State | CA
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Zip | 95814-3643
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Country | US
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Telephone | 916-467-2090
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Fax | 916-485-6814
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Provider Business Mailing Address
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Address Line | 1125 9TH ST
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City | SACRAMENTO
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State | CA
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Zip | 95814-3643
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Country | US
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Telephone | 916-467-2090
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Fax | 916-485-6814
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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 | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State | CA
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