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General NPI Number Information
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NPI Number | 1225539828
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Entity Type | Individual
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Provider Name | TIFFANY DAWN NEWMAN
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Gender | Female
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Dates
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Enumeration Date | 02/28/2018
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Last Update Date | 07/10/2024
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Provider Practice Location Address
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Address Line | 840 GALLIA ST
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City | PORTSMOUTH
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State | OH
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Zip | 45662-4232
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Country | US
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Telephone | 740-354-6685
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Fax | 740-876-4005
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Provider Business Mailing Address
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Address Line | 411 COURT ST
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City | PORTSMOUTH
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State | OH
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Zip | 45662-3932
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Country | US
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Telephone | 740-354-6685
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Fax | 740-876-4005
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | APRN72448-AGPCNP-BC
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License Number State | WV
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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 | APRN.CNP.0030366
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License Number State | OH
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