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General NPI Number Information
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NPI Number | 1346553872
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Entity Type | Individual
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Provider Name | TIFFANY FARMER VICKERS APRN
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Gender | Female
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Dates
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Enumeration Date | 07/26/2010
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Last Update Date | 01/17/2026
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Provider Practice Location Address
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Address Line | 109 W 27TH ST STE 55
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City | NEW YORK
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State | NY
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Zip | 10001-0265
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Country | US
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Telephone | 833-351-8255
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Fax |
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Provider Business Mailing Address
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Address Line | 202 VILLAGE CIR STE 3
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City | SLIDELL
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State | LA
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Zip | 70458-5418
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Country | US
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Telephone | 985-774-4989
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Fax | 985-288-5466
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP06193
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License Number State | LA
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