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General NPI Number Information
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NPI Number | 1275666307
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Entity Type | Individual
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Provider Name | TIFFANY ANN MCMURRAY ARNP
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Gender | Female
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Dates
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Enumeration Date | 03/14/2007
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Last Update Date | 03/10/2015
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Provider Practice Location Address
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Address Line | 8 OFFICE PARK DR. # A
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City | PALM COAST
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State | FL
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Zip | 32137-3808
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Country | US
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Telephone | 386-446-4466
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Fax |
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Provider Business Mailing Address
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Address Line | 49 ROYAL LAKE DR
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City | PONTE VEDRA
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State | FL
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Zip | 32081-0538
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Country | US
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Telephone | 352-246-4488
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | ARNP9211236
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License Number State | FL
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