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General NPI Number Information
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NPI Number | 1073639530
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Entity Type | Individual
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Provider Name | DAN LUCIAN DUMITRU MD
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Gender | Male
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 08/19/2014
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Provider Practice Location Address
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Address Line | 1810 JOHN F KENNEDY BLVD
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City | JERSEY CITY
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State | NJ
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Zip | 07305-2107
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Country | US
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Telephone | 201-710-0948
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Fax |
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Provider Business Mailing Address
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Address Line | 1810 JOHN F KENNEDY BLVD
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City | JERSEY CITY
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State | NJ
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Zip | 07305-2107
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Country | US
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Telephone | 201-710-0948
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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 | 2084S0012X
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Taxonomy Name | Sleep Medicine (Psychiatry & Neurology) Physician
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License Number | 25MA09124400
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 204R00000X
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Taxonomy Name | Electrodiagnostic Medicine Physician
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License Number | 25MA09124400
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 25MA09124400
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 2084N0600X
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Taxonomy Name | Clinical Neurophysiology Physician
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License Number | 25MA09124400
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License Number State | NJ
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