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General NPI Number Information
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NPI Number | 1700846599
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Entity Type | Individual
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Provider Name | TIFFANY SIMPSON-VASSALL NP
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Gender | Female
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Dates
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Enumeration Date | 03/24/2006
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 17487 S HEALTHCARE DR
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City | LAVEEN
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State | AZ
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Zip | 85339-8500
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Country | US
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Telephone | 520-550-6000
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Fax | 520-550-6027
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Provider Business Mailing Address
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Address Line | PO BOX 115
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City | SACATON
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State | AZ
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Zip | 85147-0002
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Country | US
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Telephone | 520-796-2600
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Fax | 602-528-1296
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN109710
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 363LX0001X
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Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
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License Number | AP1935
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License Number State | AZ
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