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General NPI Number Information
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NPI Number | 1447763065
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Entity Type | Individual
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Provider Name | ZEFERINO ANDREW TIRADO
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Gender | Male
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Dates
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Enumeration Date | 11/06/2017
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Last Update Date | 12/30/2024
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Provider Practice Location Address
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Address Line | 400 S SUNKIST ST APT 93
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City | ANAHEIM
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State | CA
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Zip | 92806-4244
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Country | US
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Telephone | 951-775-1986
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Fax |
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Provider Business Mailing Address
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Address Line | 7591 COLOMBIA DR
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City | BUENA PARK
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State | CA
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Zip | 90620-1277
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Country | US
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Telephone |
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Fax |
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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 | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number | 35792
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License Number State | CA
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