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General NPI Number Information
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NPI Number | 1184998833
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Entity Type | Organization
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Legal Business Name | TIFFANY SIZEMORE DO PA
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Dates
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Enumeration Date | 02/28/2012
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Last Update Date | 12/23/2025
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Provider Practice Location Address
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Address Line | 305 SE 18TH CT
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City | FORT LAUDERDALE
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State | FL
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Zip | 33316-2829
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Country | US
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Telephone | 561-716-7943
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Fax |
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Provider Business Mailing Address
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Address Line | 305 SE 18TH CT
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City | FORT LAUDERDALE
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State | FL
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Zip | 33316-2829
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Country | US
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Telephone | 561-716-7943
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. TIFFANY S DI PIETRO
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Credential | D.O.
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Telephone | 561-716-7943
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | OS11050
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License Number State | FL
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