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General NPI Number Information
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NPI Number | 1609230986
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Entity Type | Individual
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Provider Name | TIFFANY LOUISE MOSBY MS, LMFT
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Gender | Female
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Dates
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Enumeration Date | 04/12/2016
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Last Update Date | 12/23/2024
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Provider Practice Location Address
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Address Line | 1 ALHAMBRA PLZ STE PH
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City | CORAL GABLES
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State | FL
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Zip | 33134-5227
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Country | US
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Telephone | 314-817-8353
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Fax |
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Provider Business Mailing Address
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Address Line | 2137 ARROWGRASS DR UNIT 105
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City | WESLEY CHAPEL
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State | FL
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Zip | 33544-4707
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Country | US
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Telephone | 314-817-8353
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MT4391
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 2016006062
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License Number State | MO
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