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Individual
TIFFANY PASCAL
Active
Individual
TIFFANY PASCAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
799455
NY
164W00000X
Licensed Practical Nurse
331581
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
331581
—
NY
01
—
799455
OFFICE OF PROFESSIONALS
—
Enumeration date
03/18/2019
Last updated
09/09/2020
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