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General NPI Number Information
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NPI Number | 1518682079
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Entity Type | Individual
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Provider Name | TIFFANY S COOK APRN
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Gender | Female
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Dates
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Enumeration Date | 10/06/2022
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Last Update Date | 05/06/2025
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Provider Practice Location Address
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Address Line | 615 E PRINCETON ST STE 225
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City | ORLANDO
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State | FL
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Zip | 32803-1423
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Country | US
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Telephone | 407-303-9926
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Fax |
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Provider Business Mailing Address
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Address Line | 5182 DOWNING ST
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City | ORLANDO
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State | FL
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Zip | 32839-2102
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Country | US
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Telephone | 407-579-4211
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 11036614
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | APRN11036614
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN9315668
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 11036614
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 2080P0206X
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Taxonomy Name | Pediatric Gastroenterology Physician
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License Number | 11036614
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License Number State | FL
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