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General NPI Number Information
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NPI Number | 1588501522
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Entity Type | Individual
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Provider Name | MS. TIFFANEE B HENSON
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Gender | Female
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Dates
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Enumeration Date | 04/29/2026
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Last Update Date | 04/29/2026
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Provider Practice Location Address
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Address Line | 555 7TH AVE N APT C
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City | PAYETTE
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State | ID
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Zip | 83661-2147
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Country | US
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Telephone | 208-767-8071
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Fax |
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Provider Business Mailing Address
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Address Line | 555 7TH AVE N APT C
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City | PAYETTE
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State | ID
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Zip | 83661-2147
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Country | US
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Telephone | 208-767-8071
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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 | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 374J00000X
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Taxonomy Name | Doula
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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