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General NPI Number Information
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NPI Number | 1326086083
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Entity Type | Individual
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Provider Name | OANA M PETCU MD
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Gender | Female
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Dates
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Enumeration Date | 06/03/2006
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Last Update Date | 08/23/2017
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Provider Practice Location Address
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Address Line | 3600 FLORIDA BLVD
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City | BATON ROUGE
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State | LA
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Zip | 70806-3842
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Country | US
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Telephone | 225-387-7070
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Fax | 225-387-7700
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Provider Business Mailing Address
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Address Line | 3600 FLORIDA BLVD
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City | BATON ROUGE
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State | LA
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Zip | 70806
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Country | US
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Telephone | 225-387-7070
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Fax | 225-372-3717
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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 | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | MD.200732
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 200732
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License Number State | LA
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