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General NPI Number Information
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NPI Number | 1215928239
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Entity Type | Individual
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Provider Name | JENNIFER L. TIRINO M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/31/2005
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 3400 OLD MILTON PKWY STE A410
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City | ALPHARETTA
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State | GA
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Zip | 30005-3761
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Country | US
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Telephone | 770-251-8742
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Fax | 678-254-0618
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Provider Business Mailing Address
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Address Line | 3400A OLD MILTON PKWY STE 410
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City | ALPHARETTA
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State | GA
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Zip | 30005-4438
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Country | US
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Telephone | 770-225-1874
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Fax | 678-254-0618
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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 | 207YX0901X
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Taxonomy Name | Otology & Neurotology Physician
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License Number | 69142
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License Number State | GA
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