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General NPI Number Information
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NPI Number | 1700239332
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Entity Type | Individual
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Provider Name | TIPHANI JAMES DPM
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Gender | Female
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Dates
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Enumeration Date | 07/19/2016
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Last Update Date | 07/11/2025
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Provider Practice Location Address
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Address Line | 540 CHARTER BLVD STE 300
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City | MACON
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State | GA
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Zip | 31210-4894
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Country | US
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Telephone | 478-295-6381
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Fax | 833-972-2508
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Provider Business Mailing Address
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Address Line | 540 CHARTER BLVD STE 300
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City | MACON
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State | GA
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Zip | 31210-4894
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Country | US
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Telephone | 478-295-6381
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Fax | 833-972-2508
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 135.000930
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 016-005842
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | POD305051
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License Number State | GA
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