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General NPI Number Information
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NPI Number | 1164339305
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Entity Type | Individual
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Provider Name | TIFFANY LEE BARBARA TERRY HIS
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Gender | Female
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Dates
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Enumeration Date | 08/25/2026
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Last Update Date | 08/25/2026
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Provider Practice Location Address
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Address Line | 10365 SE SUNNYSIDE RD STE 230
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City | CLACKAMAS
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State | OR
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Zip | 97015-5748
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Country | US
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Telephone | 503-698-5221
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Fax | 503-744-4339
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Provider Business Mailing Address
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Address Line | 580 HOWARD AVE
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City | SOMERSET
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State | NJ
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Zip | 08873-1113
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Country | US
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Telephone |
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 10274138
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License Number State | OR
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