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General NPI Number Information
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NPI Number | 1093446890
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Entity Type | Individual
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Provider Name | EDWARD CRACIUN DMD
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Gender | Male
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Dates
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Enumeration Date | 06/22/2022
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Last Update Date | 01/02/2026
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Provider Practice Location Address
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Address Line | 4273 W CIRCLE DR NW
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City | ROCHESTER
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State | MN
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Zip | 55901-8788
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Country | US
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Telephone | 507-332-1886
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Fax |
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Provider Business Mailing Address
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Address Line | 14645 SUTHERLAND AVE
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City | NAPLES
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State | FL
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Zip | 34119-4116
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Country | US
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Telephone | 239-776-8866
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 27727
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 600101415
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | D15404
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License Number State | MN
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Taxonomy #4
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 2024003610
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License Number State | MO
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