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General NPI Number Information
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NPI Number | 1144482480
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Entity Type | Individual
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Provider Name | TIFFANY NGUYEN MD
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Gender | Female
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Dates
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Enumeration Date | 06/27/2008
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 9977 WOODS DR STE 100
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City | SKOKIE
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State | IL
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Zip | 60077-1057
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Country | US
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Telephone | 224-364-2273
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Fax | 847-663-8290
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Provider Business Mailing Address
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Address Line | 9977 WOODS DR STE 100
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City | SKOKIE
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State | IL
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Zip | 60077-1057
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Country | US
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Telephone | 224-364-2273
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 5928
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 55897
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 036.133885
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License Number State | IL
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