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General NPI Number Information
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NPI Number | 1164756136
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Entity Type | Individual
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Provider Name | LIVIA STANCU DDS
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Gender | Female
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Dates
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Enumeration Date | 09/23/2009
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Last Update Date | 09/23/2009
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Provider Practice Location Address
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Address Line | 2200 MONTROSE ST
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City | PHILADELPHIA
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State | PA
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Zip | 19146-2530
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Country | US
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Telephone | 215-545-4395
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Fax |
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Provider Business Mailing Address
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Address Line | 9662 EVANS ST
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City | PHILADELPHIA
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State | PA
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Zip | 19115-3325
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Country | US
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Telephone | 267-979-5551
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DS037926
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License Number State | PA
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