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General NPI Number Information
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NPI Number | 1396716528
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Entity Type | Individual
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Provider Name | DIANA N MOLDOVEANU M.D.
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Gender | Female
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Dates
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Enumeration Date | 01/27/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1741 DAVID WALKER DR
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City | TAVARES
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State | FL
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Zip | 32778-5745
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Country | US
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Telephone | 352-742-8836
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Fax | 352-742-8829
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Provider Business Mailing Address
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Address Line | 1741 DAVID WALKER DR
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City | TAVARES
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State | FL
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Zip | 32778-5745
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Country | US
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Telephone | 352-742-8836
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Fax | 352-742-8829
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 049067
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License Number State | GA
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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 | ME120636
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | ME120636
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License Number State | FL
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