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General NPI Number Information
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NPI Number | 1366056665
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Entity Type | Organization
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Legal Business Name | RADU PURTUC DPM PLLC
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Dates
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Enumeration Date | 09/03/2020
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Last Update Date | 12/08/2020
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Provider Practice Location Address
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Address Line | 43191 DALCOMA DR STE 105
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City | CLINTON TOWNSHIP
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State | MI
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Zip | 48038-6308
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Country | US
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Telephone | 586-213-5250
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Fax | 586-213-5252
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Provider Business Mailing Address
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Address Line | 43191 DALCOMA DR STE 105
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City | CLINTON TOWNSHIP
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State | MI
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Zip | 48038-6308
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Country | US
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Telephone | 586-213-5250
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Fax | 586-213-5252
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Authorized Official
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Title or Position | PRESIDENT
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Name | RADU PURTUC
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Credential | DPM
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Telephone | 224-587-8126
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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