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General NPI Number Information
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NPI Number | 1639838345
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Entity Type | Individual
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Provider Name | TIFFANY SWARTZ NP
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Gender | Female
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Dates
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Enumeration Date | 12/09/2021
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Last Update Date | 12/09/2021
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Provider Practice Location Address
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Address Line | 27 ST LAWRENCE DR STE 109
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City | TIFFIN
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State | OH
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Zip | 44883-8314
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Country | US
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Telephone | 567-230-2057
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Fax |
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Provider Business Mailing Address
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Address Line | 7155 E TOWNSHIP ROAD 148
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City | TIFFIN
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State | OH
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Zip | 44883-9686
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Country | US
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Telephone | 567-230-2057
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN.CNP.0029981
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License Number State | OH
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