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General NPI Number Information
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NPI Number | 1447165758
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Entity Type | Organization
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Legal Business Name | PRAIRIE SKY CLINIC TIFFANY SMITH APRN CNP PLLC
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Dates
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Enumeration Date | 08/19/2026
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Last Update Date | 08/19/2026
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Provider Practice Location Address
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Address Line | 226 SE DEBELL AVE
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City | BARTLESVILLE
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State | OK
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Zip | 74006-2343
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Country | US
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Telephone | 918-840-0411
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Fax |
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Provider Business Mailing Address
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Address Line | 226 SE DEBELL AVE
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City | BARTLESVILLE
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State | OK
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Zip | 74006-2343
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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 | CEO
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Name | TIFFANY SMITH
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Credential |
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Telephone | 918-914-9194
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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