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General NPI Number Information
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NPI Number | 1821322066
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Entity Type | Individual
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Provider Name | TIFFANY L T RANSOM D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 09/21/2009
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Last Update Date | 09/21/2009
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Provider Practice Location Address
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Address Line | 17222 RED OAK DR
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City | HOUSTON
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State | TX
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Zip | 77090-2648
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Country | US
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Telephone | 281-440-3113
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Fax |
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Provider Business Mailing Address
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Address Line | 7423 ALDERLY DR
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City | SPRING
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State | TX
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Zip | 77389-3470
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Country | US
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Telephone | 512-497-4690
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 25025
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License Number State | TX
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