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General NPI Number Information
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NPI Number | 1235899964
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Entity Type | Individual
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Provider Name | TIFFANY PAIGE TUTEN NP
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Gender | Female
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Dates
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Enumeration Date | 12/21/2021
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Last Update Date | 04/08/2022
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Provider Practice Location Address
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Address Line | 334 SMITH AVE
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City | THOMASVILLE
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State | GA
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Zip | 31792-5533
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Country | US
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Telephone | 229-227-1595
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Fax | 229-227-1385
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Provider Business Mailing Address
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Address Line | 1840 E RAY RD
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City | CHANDLER
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State | AZ
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Zip | 85225-8720
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Country | US
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Telephone | 855-397-0197
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Fax | 800-272-6512
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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 | RN270461
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License Number State | GA
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