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Individual
DR. TIFFANIE TAYLOR
Active
Individual
DR. TIFFANIE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
24447
MD
183500000X
Pharmacist
Primary
PH100002454
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2447
VACCINATION
MD
01
—
PH100002454
VACCINATION AND IMMUNIZATION AGENT
DC
Enumeration date
09/20/2016
Last updated
09/20/2016
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