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General NPI Number Information
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NPI Number | 1881072759
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Entity Type | Individual
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Provider Name | TIFFANY ELIZABETH DUQUE CRNP
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Gender | Female
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Dates
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Enumeration Date | 05/12/2015
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Last Update Date | 05/30/2024
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Provider Practice Location Address
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Address Line | 6000 REDSTONE GTWY SW STE 500
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City | HUNTSVILLE
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State | AL
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Zip | 35808-2010
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Country | US
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Telephone | 256-817-9100
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Fax | 256-817-9130
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Provider Business Mailing Address
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Address Line | PO BOX 21007
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City | HUNTSVILLE
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State | AL
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Zip | 35813-5007
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Country | US
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Telephone | 256-801-6056
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Fax | 256-801-6221
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 28996
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 1-123470
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License Number State | AL
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