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General NPI Number Information
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NPI Number | 1548895816
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Entity Type | Individual
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Provider Name | TIFFANY E GRAHAM LCSW, MCAP, QS
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Gender | Female
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Dates
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Enumeration Date | 03/07/2020
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 150 E PALMETTO PARK RD STE 800
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City | BOCA RATON
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State | FL
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Zip | 33432-4833
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Country | US
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Telephone | 561-757-0091
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Fax | 754-227-7804
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Provider Business Mailing Address
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Address Line | 150 E PALMETTO PARK RD STE 800
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City | BOCA RATON
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State | FL
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Zip | 33432-4833
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Country | US
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Telephone | 561-757-0091
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Fax | 754-227-7804
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW18091
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License Number State | FL
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