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General NPI Number Information
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NPI Number | 1053337857
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Entity Type | Individual
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Provider Name | ADRIA E TIRADO MD
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Gender | Female
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Dates
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Enumeration Date | 07/14/2006
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Last Update Date | 07/30/2010
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Provider Practice Location Address
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Address Line | 4443 BIRDSONG BLVD
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City | LUTZ
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State | FL
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Zip | 33559-8538
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Country | US
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Telephone | 813-943-7182
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Fax | 813-973-7477
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Provider Business Mailing Address
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Address Line | 4443 BIRDSONG BLVD
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City | LUTZ
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State | FL
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Zip | 33559-8538
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Country | US
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Telephone | 813-943-7182
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Fax | 813-973-7477
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | ME82791
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License Number State | FL
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