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General NPI Number Information
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NPI Number | 1295700482
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Entity Type | Individual
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Provider Name | TIRZA S SANTIAGO-RODRIGUEZ M.D.
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Gender | Female
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Dates
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Enumeration Date | 02/21/2006
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Last Update Date | 12/27/2024
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Provider Practice Location Address
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Address Line | 736 BATTLEFIELD BLVD N EMERGENCY DEPARTMENT
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City | CHESAPEAKE
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State | VA
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Zip | 23320
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Country | US
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Telephone | 757-312-6200
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Fax | 757-312-6181
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Provider Business Mailing Address
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Address Line | 109 G GAINSBOROUGH SQUARE BOX 723
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City | CHESAPEAKE
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State | VA
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Zip | 23320
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Country | US
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Telephone | 757-490-9388
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Fax | 757-490-9401
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | ME92659
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD429320
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 15098
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License Number State | PR
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Taxonomy #4
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 0101252749
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License Number State | VA
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