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General NPI Number Information
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NPI Number | 1245423342
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Entity Type | Individual
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Provider Name | TIFFANY SHEA OSBURN M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/22/2007
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Last Update Date | 11/11/2025
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Provider Practice Location Address
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Address Line | 4015 22ND PL
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City | LUBBOCK
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State | TX
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Zip | 79410-1119
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Country | US
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Telephone | 806-725-6000
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Fax | 806-723-7753
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Provider Business Mailing Address
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Address Line | PO BOX 27476
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City | SALT LAKE CITY
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State | UT
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Zip | 84127-0476
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Country | US
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Telephone | 806-743-2898
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Fax | 806-743-3900
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | N1751
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A118695
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | N1751
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License Number State | TX
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