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General NPI Number Information
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NPI Number | 1427367143
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Entity Type | Individual
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Provider Name | TAMMY IRENE WIGGINS R.N.
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Gender | Female
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Dates
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Enumeration Date | 09/29/2010
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Last Update Date | 09/29/2010
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Provider Practice Location Address
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Address Line | 4031 W. NOBLE AVE.
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City | VISALIA
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State | CA
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Zip | 93277-1631
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Country | US
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Telephone | 559-623-0172
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Fax | 559-624-1086
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Provider Business Mailing Address
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Address Line | 4031 W NOBLE AVE
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City | VISALIA
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State | CA
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Zip | 93277-1631
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Country | US
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Telephone | 559-623-0172
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Fax | 559-624-1086
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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 | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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License Number | 511052
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License Number State | CA
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