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General NPI Number Information
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NPI Number | 1639418775
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Entity Type | Individual
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Provider Name | TIFFANY SOIGNOLI LMFT
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Gender | Female
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Dates
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Enumeration Date | 02/09/2013
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Last Update Date | 03/13/2020
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Provider Practice Location Address
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Address Line | 519 RAMSEY ST
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City | FAYETTEVILLE
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State | NC
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Zip | 28301-4911
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Country | US
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Telephone | 910-988-5844
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Fax | 910-436-4142
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Provider Business Mailing Address
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Address Line | 60 SULLIVAN LN
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City | CAMERON
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State | NC
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Zip | 28326-5047
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Country | US
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Telephone | 910-988-5844
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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 | 1583
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License Number State | NC
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