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General NPI Number Information
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NPI Number | 1396720744
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Entity Type | Individual
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Provider Name | ALEXANDRA POPESCU M.D.
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Gender | Female
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Dates
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Enumeration Date | 12/08/2005
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Last Update Date | 05/27/2022
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Provider Practice Location Address
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Address Line | 6311 W 95TH ST
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City | OAK LAWN
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State | IL
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Zip | 60453-2201
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Country | US
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Telephone | 708-581-7380
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Fax | 708-581-7385
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Provider Business Mailing Address
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Address Line | 1132 S PLYMOUTH CT
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City | CHICAGO
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State | IL
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Zip | 60605-2008
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Country | US
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Telephone | 708-581-7380
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Fax | 708-581-7385
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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 | 036102438
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License Number State | IL
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