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General NPI Number Information
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NPI Number | 1942980032
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Entity Type | Individual
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Provider Name | TIFFANI BECERRA ALWAZAN ND, LAC.
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Gender | Female
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Dates
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Enumeration Date | 07/24/2023
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 929 S MAIN ST STE 101
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City | LOMBARD
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State | IL
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Zip | 60148-3325
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Country | US
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Telephone | 630-447-9857
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Fax |
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Provider Business Mailing Address
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Address Line | 7205 NW GEORGIA AVE UNIT A
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City | WASHINGTON
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State | DC
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Zip | 20012
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Country | US
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Telephone | 630-447-9847
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 038.014409
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 198.001625
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number | 2200120
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License Number State | DC
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