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General NPI Number Information
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NPI Number | 1982445888
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Entity Type | Individual
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Provider Name | TIFFANY ROZELLE
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Gender | Female
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Dates
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Enumeration Date | 06/04/2024
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 815 W BROAD ST
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City | COLUMBUS
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State | OH
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Zip | 43222-1465
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Country | US
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Telephone | 614-717-0822
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Fax |
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Provider Business Mailing Address
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Address Line | 2240 ABERDEEN AVE
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City | COLUMBUS
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State | OH
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Zip | 43211-1810
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Country | US
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Telephone | 614-208-7196
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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 | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number | APS005113
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License Number State | OH
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