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General NPI Number Information
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NPI Number | 1396841060
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Entity Type | Individual
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Provider Name | TIFFANY MCGINNESS ARNP
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Gender | Female
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Dates
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Enumeration Date | 09/16/2006
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Last Update Date | 01/23/2014
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Provider Practice Location Address
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Address Line | 143 STATE ST STE 5
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City | NEWBURYPORT
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State | MA
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Zip | 01950-6621
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Country | US
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Telephone | 978-462-7057
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Fax | 978-463-6918
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Provider Business Mailing Address
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Address Line | 143 STATE ST STE 5
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City | NEWBURYPORT
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State | MA
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Zip | 01950-6621
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Country | US
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Telephone | 978-462-7057
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Fax | 978-463-6918
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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 | 043785-23-08
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 258193
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License Number State | MA
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