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NPI 1225364631

NPI 1225364631 : DANIEL ENE-STROESCU MD PS : PUYALLUP, WA

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General NPI Number Information
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    NPI Number           |    1225364631
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    Entity Type          |    Organization 
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    Legal Business Name  |    DANIEL ENE-STROESCU MD PS 
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Dates
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    Enumeration Date     |    10/20/2009
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    Last Update Date     |    10/20/2009
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Provider Practice Location Address
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    Address Line         |    11102 SUNRISE BLVD E SUITE-102
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    City                 |    PUYALLUP
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    State                |    WA
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    Zip                  |    98374-8846
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    Country              |    US
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    Telephone            |    253-445-2385
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    Fax                  |    253-445-0384
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Provider Business Mailing Address
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    Address Line         |    PO BOX 97115 
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    City                 |    LAKEWOOD
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    State                |    WA
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    Zip                  |    98497-0115
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    Country              |    US
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    Telephone            |    253-588-7911
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    Fax                  |    253-984-6774
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Authorized Official
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    Title or Position    |    PROVIDER/OWNER
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    Name                 |    DR. DANIEL  ENE-STROESCU 
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    Credential           |    MD
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    Telephone            |    253-445-2385
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    174400000X
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    Taxonomy Name        |    Specialist
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    License Number       |    MD00042031
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    License Number State |    WA
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