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General NPI Number Information
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NPI Number | 1215792973
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Entity Type | Individual
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Provider Name | TIFFANY LYNN RHEIN
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Gender | Female
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Dates
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Enumeration Date | 02/20/2024
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Last Update Date | 04/11/2025
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Provider Practice Location Address
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Address Line | 25195 SW PARKWAY AVE STE 200
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City | WILSONVILLE
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State | OR
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Zip | 97070-9689
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Country | US
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Telephone | 971-236-1199
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Fax |
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Provider Business Mailing Address
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Address Line | 2432 ACADEMY RD
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City | MINOT
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State | ND
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Zip | 58703-1608
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Country | US
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Telephone | 612-845-1483
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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 | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number | 10031494
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License Number State | OR
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