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General NPI Number Information
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NPI Number | 1366629131
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Entity Type | Individual
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Provider Name | FLORIN VICTOR MOISIUC M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/23/2008
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 726 GAIL GARDNER WAY STE. B
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City | PRESCOTT
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State | AZ
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Zip | 86305-2314
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Country | US
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Telephone | 928-778-0309
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Fax | 928-778-2678
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Provider Business Mailing Address
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Address Line | 508 LODGE TRAIL CIR
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City | PRESCOTT
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State | AZ
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Zip | 86303-4991
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Country | US
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Telephone | 928-202-6327
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | A101299
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 46651
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License Number State | AZ
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