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General NPI Number Information
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NPI Number | 1710898242
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Entity Type | Individual
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Provider Name | TIFFANY L THERRIEN MOTR/L
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Gender | Female
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Dates
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Enumeration Date | 09/14/2026
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Last Update Date | 09/14/2026
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Provider Practice Location Address
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Address Line | 6210 E ARBOR AVE
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City | MESA
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State | AZ
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Zip | 85206-1681
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Country | US
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Telephone | 480-520-1419
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Fax |
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Provider Business Mailing Address
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Address Line | 130 N LESUEUR APT 62
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City | MESA
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State | AZ
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Zip | 85203-8778
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Country | US
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Telephone |
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OTH-007264
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License Number State | AZ
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