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General NPI Number Information
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NPI Number | 1760629042
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Entity Type | Individual
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Provider Name | TIFFANY LYNN BRAINERD M.D.
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Gender | Female
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Dates
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Enumeration Date | 01/08/2009
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Last Update Date | 06/05/2025
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Provider Practice Location Address
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Address Line | 400 W 16TH ST
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City | PUEBLO
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State | CO
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Zip | 81003-2745
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Country | US
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Telephone | 719-584-4045
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Fax |
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Provider Business Mailing Address
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Address Line | 1301 MEDICAL CENTER DR
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City | NASHVILLE
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State | TN
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Zip | 37232-5614
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Country | US
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Telephone | 615-322-5000
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 61969
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 41174
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | DR.0053639
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License Number State | CO
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