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General NPI Number Information
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NPI Number | 1972459287
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Entity Type | Organization
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Legal Business Name | TIFFIN PEDIATRICS LLC
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Dates
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Enumeration Date | 03/09/2026
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Last Update Date | 03/09/2026
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Provider Practice Location Address
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Address Line | 455 W MARKET ST STE A&B
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City | TIFFIN
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State | OH
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Zip | 44883-2670
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Country | US
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Telephone | 647-284-5220
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Fax |
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Provider Business Mailing Address
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Address Line | 455 W MARKET ST STE A&B
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City | TIFFIN
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State | OH
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Zip | 44883-2670
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Country | US
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Telephone | 647-284-5220
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. PRAS KAYILASANATHAN
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Credential |
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Telephone | 647-284-5220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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