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General NPI Number Information
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NPI Number | 1619940665
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Entity Type | Individual
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Provider Name | AUGUSTO TIRADO MD
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Gender | Male
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Dates
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Enumeration Date | 02/09/2006
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Last Update Date | 10/23/2025
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Provider Practice Location Address
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Address Line | 3400 CORAL WAY STE 500
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City | MIAMI
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State | FL
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Zip | 33145-3053
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Country | US
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Telephone | 305-856-8440
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Fax | 305-856-8735
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Provider Business Mailing Address
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Address Line | 8330 SW 66TH ST
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City | MIAMI
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State | FL
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Zip | 33143-2532
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Country | US
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Telephone | 239-931-7342
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Fax | 239-931-7385
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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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number | ME 45364
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License Number State | FL
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