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General NPI Number Information
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NPI Number | 1184351678
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Entity Type | Individual
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Provider Name | TIFFANY NICOL ARMSTRONG MS, TLLP
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Gender | Female
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Dates
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Enumeration Date | 08/04/2022
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Last Update Date | 08/04/2022
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Provider Practice Location Address
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Address Line | 17940 FARMINGTON RD STE 215
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City | LIVONIA
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State | MI
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Zip | 48152-3194
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Country | US
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Telephone | 734-219-5739
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Fax | 269-397-2093
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Provider Business Mailing Address
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Address Line | 2030 GREYSTONE CT
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City | RED BLUFF
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State | CA
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Zip | 96080-4032
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Country | US
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Telephone | 734-834-9928
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 6362008884
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License Number State | MI
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