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1518342799 NPI number — ROSE KRISTINE DE GUZMAN TIANGCO M.D.

NPI Number: 1518342799
Health Care Provider/Practitioner: ROSE KRISTINE DE GUZMAN TIANGCO M.D.

Information about “1518342799” NPI (ROSE KRISTINE DE GUZMAN TIANGCO M.D.) exists in 1518342799 in HTML format HTML  |  1518342799 in plain Text format TXT  |  1518342799 in PDF (Portable Document Format) PDF  |  1518342799 in an XML format XML  formats.

NPI Number : 1518342799 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1518342799",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "TIANGCO",
    "FirstName": "ROSE KRISTINE",
    "MiddleName": "DE GUZMAN",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "504 CLINTON CENTER DR STE 4300",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CLINTON",
    "MailingAddressStateName": "MS",
    "MailingAddressPostalCode": "39056-5610",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "601-815-2005",
    "MailingAddressFaxNumber": "601-815-0434",
    "FirstLinePracticeLocationAddress": "2500 N STATE ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "JACKSON",
    "PracticeLocationAddressStateName": "MS",
    "PracticeLocationAddressPostalCode": "39216-4500",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "601-815-2869",
    "PracticeLocationAddressFaxNumber": "601-815-9356",
    "EnumerationDate": "07/29/2015",
    "LastUpdateDate": "09/13/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "208M00000X",
          "TaxonomyName": "Hospitalist Physician",
          "LicenseNumber": "63576",
          "LicenseNumberStateCode": "MN",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207R00000X",
          "TaxonomyName": "Internal Medicine Physician",
          "LicenseNumber": "70639",
          "LicenseNumberStateCode": "CT",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "208M00000X",
          "TaxonomyName": "Hospitalist Physician",
          "LicenseNumber": "31380",
          "LicenseNumberStateCode": "MS",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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