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General NPI Number Information
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NPI Number | 1265873244
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Entity Type | Individual
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Provider Name | TIFFANY PARKER D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 07/08/2013
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Last Update Date | 10/15/2025
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Provider Practice Location Address
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Address Line | 4601 GLENWOOD AVE
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City | RALEIGH
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State | NC
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Zip | 27612-3809
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Country | US
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Telephone | 919-784-8184
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 860036
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City | MINNEAPOLIS
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State | MN
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Zip | 55486-0036
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Country | US
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Telephone |
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 9880
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License Number State | NC
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