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General NPI Number Information
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NPI Number | 1245719848
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Entity Type | Individual
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Provider Name | TIFFANY SLAGER CD
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Gender | Female
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Dates
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Enumeration Date | 08/14/2018
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Last Update Date | 06/01/2023
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Provider Practice Location Address
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Address Line | 4943 BARNUM ST
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City | SEBRING
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State | FL
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Zip | 33876-5681
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Country | US
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Telephone | 186-338-1719
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Fax |
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Provider Business Mailing Address
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Address Line | 4943 BARNUM ST
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City | SEBRING
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State | FL
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Zip | 33876-5681
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Country | US
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Telephone | 863-381-7199
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Fax |
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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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 | 374J00000X
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Taxonomy Name | Doula
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License Number |
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License Number State |
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