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General NPI Number Information
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NPI Number | 1972974764
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Entity Type | Individual
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Provider Name | TIFFANY KLEJDYS
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Gender | Female
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Dates
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Enumeration Date | 10/19/2015
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Last Update Date | 06/24/2024
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Provider Practice Location Address
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Address Line | 7432 NIAGARA FALLS BLVD
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City | NIAGARA FALLS
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State | NY
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Zip | 14304-1720
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Country | US
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Telephone | 716-371-4260
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Fax | 716-371-4261
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Provider Business Mailing Address
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Address Line | 177 57TH STREET
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City | NIAGARA FALLS
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State | NY
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Zip | 14304
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Country | US
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Telephone | 716-909-1167
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2906277
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License Number State | NY
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