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General NPI Number Information
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NPI Number | 1477969582
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Entity Type | Individual
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Provider Name | TIFFANY RENEE TRENT DNP, APRN, AGACNP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/09/2014
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 4238 W KENNEDY BLVD
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City | TAMPA
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State | FL
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Zip | 33609-2231
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Country | US
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Telephone | 813-879-6040
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Fax | 813-879-6043
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Provider Business Mailing Address
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Address Line | PO BOX 23329
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City | NEW YORK
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State | NY
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Zip | 10087-3329
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Country | US
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Telephone | 727-821-0612
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Fax | 727-822-5507
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | R085395
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 863777
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License Number State | TX
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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 | APRN11014326
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN11014326
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License Number State | FL
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