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General NPI Number Information
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NPI Number | 1720999345
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Entity Type | Organization
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Legal Business Name | FRONTIER FAMILY HEALTH, LLC
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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 | 806 BIG HORN AVE W
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City | BASIN
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State | WY
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Zip | 82410-9410
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Country | US
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Telephone | 307-388-1161
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Fax | 609-250-9938
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Provider Business Mailing Address
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Address Line | 806 BIG HORN AVE W
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City | BASIN
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State | WY
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Zip | 82410-9410
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Country | US
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Telephone | 307-388-1161
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Fax | 609-250-9938
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Authorized Official
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Title or Position | OWNER
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Name | TIFFANY TANNER
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Credential | PA-C
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Telephone | 818-554-4319
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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