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NPI 1750001202

NPI 1750001202 : TIFFANY ALTMAN RMHCI : DELAND, FL

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General NPI Number Information
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    NPI Number           |    1750001202
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    Entity Type          |    Individual 
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    Provider Name        |    TIFFANY ALTMAN RMHCI
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/02/2022
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    Last Update Date     |    09/02/2022
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Provider Practice Location Address
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    Address Line         |    201 W PLYMOUTH AVE 
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    City                 |    DELAND
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    State                |    FL
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    Zip                  |    32720-2753
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    Country              |    US
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    Telephone            |    407-732-4272
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    855 BENTLEY GREEN CIR 
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    City                 |    WINTER SPRINGS
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    State                |    FL
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    Zip                  |    32708-4350
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    Country              |    US
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    Telephone            |    407-285-4411
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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        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    
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    License Number State |    
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