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General NPI Number Information
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NPI Number | 1568734358
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Entity Type | Individual
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Provider Name | TIFFANIE ANN PYE PHARMD, BCPS
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Gender | Female
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Dates
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Enumeration Date | 02/08/2012
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Last Update Date | 11/29/2019
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Provider Practice Location Address
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Address Line | 1401 N 10TH AVE
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City | STAYTON
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State | OR
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Zip | 97383-1311
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Country | US
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Telephone | 503-769-9223
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Fax |
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Provider Business Mailing Address
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Address Line | 1401 N 10TH AVE
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City | STAYTON
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State | OR
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Zip | 97383-1311
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Country | US
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Telephone | 503-769-9223
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 0012683
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 00012683
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License Number State | OR
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