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General NPI Number Information
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NPI Number | 1871457697
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Entity Type | Individual
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Provider Name | TIFFANY CECILIA ADAMES FNP-BC
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Gender |
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Dates
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Enumeration Date | 12/15/2025
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 1680 W REUNION AVE STE 5A
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City | SOUTH JORDAN
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State | UT
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Zip | 84095-4620
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Country | US
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Telephone | 385-361-3001
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Fax |
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Provider Business Mailing Address
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Address Line | 11267 S GLEN CROFT LN
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City | SANDY
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State | UT
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Zip | 84070-6783
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 12782635-4405
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License Number State | UT
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