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General NPI Number Information
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NPI Number | 1477889822
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Entity Type | Individual
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Provider Name | TIFFANY WATSON NP
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Gender | Female
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Dates
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Enumeration Date | 10/20/2009
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 1501 MADISON RD
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City | WALNUT HILLS
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State | OH
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Zip | 45206-1706
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Country | US
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Telephone | 513-354-5238
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Fax | 513-354-5237
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Provider Business Mailing Address
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Address Line | 3336 HARRISON AVE UNIT 11606
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City | CINCINNATI
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State | OH
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Zip | 45211-8527
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Country | US
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Telephone | 513-295-1529
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Fax | 513-662-0053
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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 | 314-300
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | COA 18434
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN.CNP.18434
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN.CNP.18434
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License Number State | OH
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