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General NPI Number Information
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NPI Number | 1891417358
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Entity Type | Individual
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Provider Name | TIFFANY LOVEDAY DROOG FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 09/13/2022
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Last Update Date | 08/08/2023
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Provider Practice Location Address
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Address Line | 26317 WASHINGTON ST UNIT 110
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City | NORTH DINWIDDIE
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State | VA
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Zip | 23803-2727
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Country | US
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Telephone | 804-896-3029
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Fax |
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Provider Business Mailing Address
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Address Line | 607 E TENNESSEE AVE
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City | CREWE
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State | VA
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Zip | 23930-2121
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Country | US
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Telephone | 434-394-8538
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 0024185123
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License Number State | VA
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