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General NPI Number Information
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NPI Number | 1306708912
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Entity Type | Individual
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Provider Name | TIFFANY VERNE TINCH
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Gender | Female
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Dates
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Enumeration Date | 12/02/2025
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | TIFFANY TINCH, 1300 MERCANTILE LANE 198
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City | BOWIE
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State | MD
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Zip | 20721
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Country | US
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Telephone | 301-386-2991
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Fax |
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Provider Business Mailing Address
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Address Line | 1300 MERCANTILE LN
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City | LARGO
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State | MD
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Zip | 20774-5327
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 11587
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License Number State | MD
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