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General NPI Number Information
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NPI Number | 1235730862
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Entity Type | Organization
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Legal Business Name | TIPS LOVE LLC
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Dates
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Enumeration Date | 11/02/2020
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Last Update Date | 10/02/2022
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Provider Practice Location Address
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Address Line | 4167 SHAN DR E
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City | MOBILE
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State | AL
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Zip | 36693-4856
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Country | US
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Telephone | 251-447-6406
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Fax |
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Provider Business Mailing Address
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Address Line | 4167 SHAN DR E
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City | MOBILE
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State | AL
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Zip | 36693-4856
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Country | US
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Telephone | 251-447-6406
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TIFFANY WILSON
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Credential | CNA
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Telephone | 251-513-1458
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number |
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License Number State |
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