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General NPI Number Information
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NPI Number | 1154254308
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Entity Type | Individual
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Provider Name | MRS. TIFFANY CASANDRA VOLLMERHAUSEN
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Gender | Female
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Dates
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Enumeration Date | 06/06/2026
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Last Update Date | 06/06/2026
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Provider Practice Location Address
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Address Line | 1504 BEDFORD ST
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City | CUMBERLAND
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State | MD
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Zip | 21502-1007
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Country | US
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Telephone | 240-803-7222
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Fax |
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Provider Business Mailing Address
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Address Line | 705 LOUISIANA AVE
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City | CUMBERLAND
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State | MD
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Zip | 21502-3637
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Country | US
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Telephone | 301-268-9663
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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 | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State | MD
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