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General NPI Number Information
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NPI Number | 1184590507
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Entity Type | Individual
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Provider Name | TIFFANY PARMLEY
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Gender | Female
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Dates
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Enumeration Date | 10/13/2025
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Last Update Date | 10/13/2025
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Provider Practice Location Address
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Address Line | 191 IVY ST
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City | NEWARK
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State | NJ
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Zip | 07106-2840
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Country | US
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Telephone | 973-801-3208
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Fax | 609-490-2815
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Provider Business Mailing Address
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Address Line | 191 IVY ST
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City | NEWARK
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State | NJ
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Zip | 07106-2840
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Country | US
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Telephone | 973-801-3208
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Fax | 609-490-2815
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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 |
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