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NPI Code Detail

MEDICARE: TIPHANY MCDANIEL

MEDICARE:   TIPHANY  MCDANIEL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1437753381
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIPHANY MCDANIEL
Provider Business Mailing Address
First Line : 400 S MILITARY HWY APT 2205
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23464-1892
Country : US
Telephone Number : 571-212-7739
Fax Number :
Provider Business Practice Location Address
First Line : 400 S MILITARY HWY APT 2205
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23464-1892
Country : US
Telephone Number : 571-212-7739
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/22/2020
Last Update Date : 11/22/2020

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Directions to “ TIPHANY MCDANIEL ” Practice Location

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