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General NPI Number Information
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NPI Number | 1417684820
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Entity Type | Individual
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Provider Name | TIFFANY NICHOLE DOBBS PHARMD
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Gender | Female
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Dates
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Enumeration Date | 08/04/2022
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Last Update Date | 08/04/2022
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Provider Practice Location Address
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Address Line | 1414 W WILSON ST
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City | BORGER
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State | TX
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Zip | 79007-4420
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Country | US
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Telephone | 806-273-6427
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Fax |
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Provider Business Mailing Address
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Address Line | 507 MARCY DR
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City | FRITCH
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State | TX
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Zip | 79036-5013
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Country | US
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Telephone | 806-275-0578
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 70802
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License Number State | TX
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