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General NPI Number Information
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NPI Number | 1518778422
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Entity Type | Individual
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Provider Name | TIFFANY L BICKFORD
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Gender | Female
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Dates
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Enumeration Date | 01/20/2025
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Last Update Date | 01/20/2025
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Provider Practice Location Address
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Address Line | 706 LAMONT DR
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City | LINCOLN
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State | NE
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Zip | 68528-1440
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Country | US
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Telephone | 402-621-0142
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Fax |
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Provider Business Mailing Address
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Address Line | 3488 S 96TH RD
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City | FIRTH
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State | NE
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Zip | 68358-7574
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Country | US
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Telephone | 402-601-1608
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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 | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number | 95168
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License Number State | NE
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