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General NPI Number Information
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NPI Number | 1912812413
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Entity Type | Individual
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Provider Name | TIFFANY MICHELLE KOVASH PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 08/18/2026
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Last Update Date | 08/18/2026
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Provider Practice Location Address
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Address Line | 5000 RESEARCH CT STE 450
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City | SUWANEE
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State | GA
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Zip | 30024-6660
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Country | US
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Telephone | 770-205-5551
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Fax | 470-359-2982
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Provider Business Mailing Address
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Address Line | 195 ARDEN PL
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City | ALPHARETTA
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State | GA
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Zip | 30022-5218
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Country | US
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Telephone | 225-316-7307
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT018503
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License Number State | GA
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