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General NPI Number Information
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NPI Number | 1295777837
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Entity Type | Individual
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Provider Name | AMIR MOLDOVAN MD
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Gender | Male
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Dates
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Enumeration Date | 06/11/2006
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Last Update Date | 02/12/2020
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Provider Practice Location Address
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Address Line | 23206 LYONS AVENUE SUITE 106
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City | SANTA CLARITA
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State | CA
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Zip | 92321-2671
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Country | US
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Telephone | 661-505-9901
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Fax | 661-505-9902
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Provider Business Mailing Address
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Address Line | 23206 LYONS AVENUE SUITE 106
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City | SANTA CLARITA
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State | CA
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Zip | 92321-2671
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Country | US
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Telephone | 661-505-9901
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Fax | 661-505-9902
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | A104056
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License Number State | CA
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