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General NPI Number Information
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NPI Number | 1255326591
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Entity Type | Individual
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Provider Name | EDUARD POROSNICU MD
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Gender | Male
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Dates
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Enumeration Date | 09/13/2005
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Last Update Date | 12/27/2018
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Provider Practice Location Address
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Address Line | 445 LENOX RD
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City | BROOKLYN
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State | NY
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Zip | 11203-2017
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Country | US
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Telephone | 718-270-1531
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Fax |
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Provider Business Mailing Address
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Address Line | 445 LENOX RD BOX 1262
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City | BROOKLYN
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State | NY
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Zip | 11203-2017
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Country | US
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Telephone | 718-270-1531
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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 | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number | MD19906
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License Number State | ME
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Taxonomy #2
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Taxonomy Code | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number | 256355
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License Number State | NY
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