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General NPI Number Information
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NPI Number | 1386876100
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Entity Type | Individual
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Provider Name | TIFFANY RAMSEUR COWAN CRNA
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Gender | Female
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Dates
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Enumeration Date | 08/12/2009
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Last Update Date | 10/28/2020
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Provider Practice Location Address
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Address Line | 110 29TH AVE N STE 202
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City | NASHVILLE
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State | TN
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Zip | 37203-1448
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Country | US
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Telephone | 615-327-4304
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Fax |
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Provider Business Mailing Address
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Address Line | 145 KIMEL PARK DR STE 120
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City | WINSTON SALEM
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State | NC
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Zip | 27103-6983
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Country | US
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Telephone | 336-768-3212
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Fax | 336-768-9019
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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 | 196368
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License Number State | NC
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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 | 209019447
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License Number State | IL
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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 | 084182
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 26818
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License Number State | TN
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