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General NPI Number Information
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NPI Number | 1558307421
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Entity Type | Individual
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Provider Name | TIFFANEE ANN PADGETT ARNP
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Gender | Female
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Dates
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Enumeration Date | 06/21/2006
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Last Update Date | 01/15/2014
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Provider Practice Location Address
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Address Line | 555 N BYRON BUTLER PKWY
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City | PERRY
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State | FL
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Zip | 32347-2315
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Country | US
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Telephone | 850-584-0600
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Fax | 850-584-0602
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Provider Business Mailing Address
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Address Line | 555 N BYRON BUTLER PKWY
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City | PERRY
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State | FL
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Zip | 32347-2315
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Country | US
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Telephone | 850-223-5400
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Fax | 850-223-5401
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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 | ARNP3201862
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License Number State | FL
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