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General NPI Number Information
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NPI Number | 1316240849
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Entity Type | Individual
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Provider Name | TIFFANY NICOLE GARRIGAN M.P.T.
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Gender | Female
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Dates
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Enumeration Date | 12/06/2010
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Last Update Date | 01/31/2022
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Provider Practice Location Address
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Address Line | 9900 BREN RD E
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City | MINNETONKA
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State | MN
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Zip | 55343-9664
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Country | US
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Telephone | 800-516-0861
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Fax |
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Provider Business Mailing Address
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Address Line | 12 HILLSIDE AVE
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City | SEYMOUR
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State | CT
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Zip | 06483-3211
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Country | US
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Telephone | 914-799-2094
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Fax | 860-529-5401
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 008891
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License Number State | CT
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