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General NPI Number Information
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NPI Number | 1134096696
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Entity Type | Individual
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Provider Name | DR. TIFFANY NICOLE JONES
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Gender | Female
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Dates
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Enumeration Date | 10/20/2025
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Last Update Date | 10/20/2025
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Provider Practice Location Address
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Address Line | 5740 W 63RD PL
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City | CHICAGO
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State | IL
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Zip | 60638-5518
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Country | US
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Telephone | 708-673-2830
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Fax |
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Provider Business Mailing Address
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Address Line | 6834 CANTRELL RD # 2313
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City | LITTLE ROCK
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State | AR
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Zip | 72207-4135
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Country | US
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Telephone | 501-588-4527
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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 | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number |
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License Number State |
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