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General NPI Number Information
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NPI Number | 1164743480
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Entity Type | Individual
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Provider Name | TIFFANY RANGEL DMD
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Gender | Female
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Dates
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Enumeration Date | 06/21/2010
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Last Update Date | 01/19/2021
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Provider Practice Location Address
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Address Line | 5055 MARYLAND WAY STE 201
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City | BRENTWOOD
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State | TN
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Zip | 37027-7664
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Country | US
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Telephone | 615-590-3430
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Fax |
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Provider Business Mailing Address
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Address Line | 5141 GLENCARRON DR
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City | NASHVILLE
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State | TN
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Zip | 37220-2350
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Country | US
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Telephone | 239-851-2507
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN19031
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DS00000093751
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | DS9375
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License Number State | TN
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