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General NPI Number Information
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NPI Number | 1255247284
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Entity Type | Individual
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Provider Name | MS. TIFFANY AUSTIN EMANUEL
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Gender | Female
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Dates
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Enumeration Date | 08/20/2026
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Last Update Date | 08/20/2026
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Provider Practice Location Address
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Address Line | 1428 ELLEN ST STE B
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City | MONROE
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State | NC
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Zip | 28112-5286
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Country | US
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Telephone | 980-236-9244
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Fax | 833-450-5044
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Provider Business Mailing Address
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Address Line | 8936 NORTHPOINTE EXECUTIVE PARK DRIVE SUITE 240/260
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City | HUNTERSVILLE
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State | NC
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Zip | 28078
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Country | US
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Telephone | 980-375-6712
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Fax | 833-450-5044
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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 | 104100000X
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Taxonomy Name | Social Worker
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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