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General NPI Number Information
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NPI Number | 1326924325
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Entity Type | Individual
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Provider Name | TIFFANY MAI
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Gender | Female
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Dates
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Enumeration Date | 08/14/2025
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Last Update Date | 08/14/2025
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Provider Practice Location Address
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Address Line | 60 COOKE AVE
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City | CARTERET
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State | NJ
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Zip | 07008-3042
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Country | US
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Telephone | 347-705-9272
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Fax |
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Provider Business Mailing Address
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Address Line | 199 BRAISTED AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10314-6134
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Country | US
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Telephone | 347-705-9272
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 18KT01555700
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License Number State | NJ
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