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General NPI Number Information
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NPI Number | 1083684401
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Entity Type | Individual
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Provider Name | VINCENTIU POPA MD
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Gender | Male
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Dates
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Enumeration Date | 01/26/2006
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Last Update Date | 05/03/2017
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Provider Practice Location Address
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Address Line | 719 BUTTERNUT DR
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City | FRANKLIN LAKES
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State | NJ
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Zip | 07417-2281
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Country | US
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Telephone | 201-925-0277
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Fax | 888-766-8193
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Provider Business Mailing Address
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Address Line | 719 BUTTERNUT DR
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City | FRANKLIN LAKES
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State | NJ
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Zip | 07417-2281
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Country | US
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Telephone | 201-925-0277
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Fax | 888-766-8193
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 228490
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 25MA08106100
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | 25MA08106100
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License Number State | NJ
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