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NPI 1164178109

NPI 1164178109 : JANA NEGRESCU DMD : BROOKLYN, NY

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General NPI Number Information
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    NPI Number           |    1164178109
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    Entity Type          |    Individual 
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    Provider Name        |    JANA NEGRESCU DMD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/28/2022
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    Last Update Date     |    08/05/2025
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Provider Practice Location Address
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    Address Line         |    150 55TH ST 
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    City                 |    BROOKLYN
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    State                |    NY
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    Zip                  |    11220-2508
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    Country              |    US
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    Telephone            |    718-630-7000
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    8088 DESERT CLOUD AVE 
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    City                 |    LAS VEGAS
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    State                |    NV
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    Zip                  |    89131-4686
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    Country              |    US
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    Telephone            |    
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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        |    1223D0004X
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    Taxonomy Name        |    Dental Anesthesiology
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    License Number       |    0401419597
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    License Number State |    VA
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