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General NPI Number Information
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NPI Number | 1346748258
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Entity Type | Individual
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Provider Name | TIFFANY K WALKER DDS
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Gender | Female
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Dates
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Enumeration Date | 01/25/2018
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Last Update Date | 01/09/2020
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Provider Practice Location Address
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Address Line | 6988 E BRAINERD RD
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City | CHATTANOOGA
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State | TN
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Zip | 37421-3834
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Country | US
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Telephone | 423-710-3108
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Fax |
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Provider Business Mailing Address
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Address Line | 7808 MAHAN GAP RD
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City | OOLTEWAH
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State | TN
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Zip | 37363-5708
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DS0000010422
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License Number State | TN
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