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General NPI Number Information
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NPI Number | 1184981870
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Entity Type | Individual
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Provider Name | TIFFINNE PERKINS NURSE PRACTITIONER
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Gender | Female
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Dates
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Enumeration Date | 04/18/2012
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 238 S ELMWOOD AVE
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City | MEDINA
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State | OH
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Zip | 44256-2210
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Country | US
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Telephone | 440-409-2023
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Fax | 216-415-6858
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Provider Business Mailing Address
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Address Line | 1408 S GREEN RD
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City | SOUTH EUCLID
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State | OH
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Zip | 44121-3920
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Country | US
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Telephone | 440-409-2023
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 0031476
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN331153
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License Number State | OH
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