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General NPI Number Information
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NPI Number | 1811676802
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Entity Type | Individual
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Provider Name | TIFFANY WEAVER LCSW
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Gender | Female
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Dates
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Enumeration Date | 07/17/2023
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 677 NE 35TH AVE
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City | HOMESTEAD
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State | FL
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Zip | 33033-7626
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Country | US
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Telephone | 786-265-8519
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Fax |
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Provider Business Mailing Address
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Address Line | 3355 NE 5TH ST APT 208
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City | HOMESTEAD
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State | FL
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Zip | 33033-7647
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Country | US
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Telephone | 786-804-7839
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW20831
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 12514-123
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CSW.09929423
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License Number State | CO
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6801116901
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License Number State | MI
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