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General NPI Number Information
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NPI Number | 1700945508
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Entity Type | Individual
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Provider Name | TIFFANY LEE MIDDENDORF LM
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Gender | Female
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Dates
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Enumeration Date | 12/07/2006
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Last Update Date | 11/01/2024
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Provider Practice Location Address
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Address Line | 6024 MAGAZINE ST
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City | NEW ORLEANS
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State | LA
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Zip | 70118-5824
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Country | US
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Telephone | 504-459-2426
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Fax | 504-285-2226
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Provider Business Mailing Address
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Address Line | 6024 MAGAZINE ST
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City | NEW ORLEANS
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State | LA
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Zip | 70118-5824
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Country | US
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Telephone | 504-459-2426
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Fax | 504-285-2226
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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 | 176B00000X
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Taxonomy Name | Midwife
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License Number | 324935
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License Number State | LA
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