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General NPI Number Information
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NPI Number | 1578103842
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Entity Type | Individual
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Provider Name | TIFFANY MARKHAM RN
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Gender | Female
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Dates
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Enumeration Date | 01/14/2020
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Last Update Date | 01/14/2020
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Provider Practice Location Address
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Address Line | 37109 HIGH RIDGE DR
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City | BEAUMONT
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State | CA
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Zip | 92223-8065
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Country | US
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Telephone | 951-385-9997
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Fax |
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Provider Business Mailing Address
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Address Line | 37109 HIGH RIDGE DR
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City | BEAUMONT
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State | CA
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Zip | 92223-8065
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Country | US
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Telephone |
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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 | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 683974
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License Number State | CA
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