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General NPI Number Information
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NPI Number | 1225355431
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Entity Type | Individual
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Provider Name | TIFFANY BRYANT MSN, RN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 04/27/2010
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Last Update Date | 09/09/2026
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Provider Practice Location Address
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Address Line | 808 OAK AVE
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City | GREENFIELD
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State | CA
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Zip | 93927-5648
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Country | US
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Telephone | 831-674-5344
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Fax |
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Provider Business Mailing Address
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Address Line | 6310 N MAIN ST
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City | DAYTON
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State | OH
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Zip | 45415-3155
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Country | US
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Telephone | 937-270-0239
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | COA.17425-NP
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95002547
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN341517
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License Number State | OH
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