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1144116930 NPI number — TIFFANY LYNNE ALDRIDGE RHINE OD

NPI Number: 1144116930
Health Care Provider/Practitioner: TIFFANY LYNNE ALDRIDGE RHINE OD

Information about “1144116930” NPI (TIFFANY LYNNE ALDRIDGE RHINE OD) exists in 1144116930 in HTML format HTML  |  1144116930 in plain Text format TXT  |  1144116930 in PDF (Portable Document Format) PDF  |  1144116930 in an XML format XML  formats.

NPI Number : 1144116930 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1144116930",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ALDRIDGE RHINE",
    "FirstName": "TIFFANY",
    "MiddleName": "LYNNE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "OD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "RHINE",
    "OtherFirstName": "TIFFANY",
    "OtherMiddleName": "LYNNE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "OD",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "1000 DES PERES RD STE 105",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAINT LOUIS",
    "MailingAddressStateName": "MO",
    "MailingAddressPostalCode": "63131-2062",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "314-628-9100",
    "MailingAddressFaxNumber": "844-235-0998",
    "FirstLinePracticeLocationAddress": "1000 DES PERES RD STE 105",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DES PERES",
    "PracticeLocationAddressStateName": "MO",
    "PracticeLocationAddressPostalCode": "63131-2062",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "314-628-9100",
    "PracticeLocationAddressFaxNumber": "844-235-0998",
    "EnumerationDate": "06/17/2025",
    "LastUpdateDate": "08/15/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "152W00000X",
        "TaxonomyName": "Optometrist",
        "LicenseNumber": "2025023157",
        "LicenseNumberStateCode": "MO",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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