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General NPI Number Information
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NPI Number | 1871039560
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Entity Type | Individual
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Provider Name | TIFFANY FASSNACHT ROBINSON PHARMD/MSCR
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Gender | Female
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Dates
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Enumeration Date | 01/18/2017
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Last Update Date | 10/09/2024
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Provider Practice Location Address
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Address Line | 406 WOODLAND DR
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City | ELIZABETHTOWN
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State | NC
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Zip | 28337-8842
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Country | US
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Telephone | 910-862-8517
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Fax | 910-862-8606
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Provider Business Mailing Address
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Address Line | 2403 3RD AVE
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City | ELIZABETHTOWN
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State | NC
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Zip | 28337-8983
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Country | US
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Telephone |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 20379
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License Number State | NC
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