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General NPI Number Information
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NPI Number | 1235284761
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Entity Type | Individual
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Provider Name | TIFFANY MATHAS CHAMBERLIN O.D.
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Gender | Female
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 04/13/2024
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Provider Practice Location Address
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Address Line | 1015 WEST VIEW PARK DRIVE
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City | PITTSBURGH
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State | PA
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Zip | 15229
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Country | US
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Telephone | 412-931-8101
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Fax | 412-931-8103
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Provider Business Mailing Address
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Address Line | 1834 KELLER PARKWAY
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City | KELLER
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State | TX
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Zip | 76248
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Country | US
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Telephone | 817-431-4900
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Fax | 817-431-4492
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPC3721
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OET008883
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number | OET008883
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 10138T
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License Number State | TX
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