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General NPI Number Information
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NPI Number | 1295706141
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Entity Type | Individual
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Provider Name | JOHN CHARLES TIFFEE D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 01/30/2006
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Last Update Date | 07/15/2024
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Provider Practice Location Address
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Address Line | 6285 YOUNGSTOWN WARREN RD
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City | NILES
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State | OH
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Zip | 44446-4656
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Country | US
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Telephone | 330-505-9224
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Fax |
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Provider Business Mailing Address
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Address Line | 6285 YOUNGSTOWN WARREN RD
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City | NILES
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State | OH
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Zip | 44446-4656
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Country | US
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Telephone | 330-505-9224
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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 | 30.027302
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License Number State | OH
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