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General NPI Number Information
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NPI Number | 1003067414
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Entity Type | Individual
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Provider Name | CORNELIA DIANA CUDRICI M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/03/2008
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Last Update Date | 07/20/2017
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Provider Practice Location Address
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Address Line | 10 CENTER DRIVE BLD 10 RM 6N216A
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City | BETHESDA
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State | MD
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Zip | 20892-0001
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Country | US
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Telephone | 301-443-5519
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Fax |
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Provider Business Mailing Address
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Address Line | 261 CONGRESSIONAL LN APT 417
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City | ROCKVILLE
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State | MD
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Zip | 20852-5309
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Country | US
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Telephone | 585-301-6006
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | D0071894
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | D71894
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License Number State | MD
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