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1306343322 NPI number — TIFFANY PAULINE WHIPPLE DO

NPI Number: 1306343322
Health Care Provider/Practitioner: TIFFANY PAULINE WHIPPLE DO

Information about “1306343322” NPI (TIFFANY PAULINE WHIPPLE DO) exists in 1306343322 in HTML format HTML  |  1306343322 in plain Text format TXT  |  1306343322 in PDF (Portable Document Format) PDF  |  1306343322 in an XML format XML  formats.

NPI Number : 1306343322 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1306343322",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WHIPPLE",
    "FirstName": "TIFFANY",
    "MiddleName": "PAULINE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "DO",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "WHIPPLE",
    "OtherFirstName": "PAULI",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "DO",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "1215 HADLEY RD STE 201",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MOORESVILLE",
    "MailingAddressStateName": "IN",
    "MailingAddressPostalCode": "46158-2907",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "317-834-9618",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2448 E 81ST ST STE 1100",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "TULSA",
    "PracticeLocationAddressStateName": "OK",
    "PracticeLocationAddressPostalCode": "74137-4205",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "918-505-3400",
    "PracticeLocationAddressFaxNumber": "918-508-7070",
    "EnumerationDate": "04/06/2018",
    "LastUpdateDate": "08/21/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "208C00000X",
          "TaxonomyName": "Colon & Rectal Surgery Physician",
          "LicenseNumber": "6797",
          "LicenseNumberStateCode": "OK",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "208C00000X",
          "TaxonomyName": "Colon & Rectal Surgery Physician",
          "LicenseNumber": "02007024A",
          "LicenseNumberStateCode": "IN",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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