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General NPI Number Information
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NPI Number | 1326683533
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Entity Type | Individual
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Provider Name | TIFFANY DAWN BARTOLES BS, MHS, CRNA
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Gender | Female
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Dates
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Enumeration Date | 11/12/2019
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Last Update Date | 12/11/2024
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Provider Practice Location Address
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Address Line | 1000 DUTCH RIDGE RD
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City | BEAVER
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State | PA
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Zip | 15009-9727
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Country | US
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Telephone | 724-728-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 1333 OHIOVIEW DR
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City | INDUSTRY
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State | PA
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Zip | 15052-1211
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Country | US
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Telephone | 724-494-4616
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN637973
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 130266
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | APN.0997420-CRNA
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License Number State | CO
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