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General NPI Number Information
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NPI Number | 1407291156
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Entity Type | Organization
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Legal Business Name | ROXANA LASCU MD PA
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Dates
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Enumeration Date | 05/08/2013
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Last Update Date | 07/26/2013
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Provider Practice Location Address
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Address Line | 1307 S INTERNATIONAL PKWY STE 1061
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City | LAKE MARY
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State | FL
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Zip | 32746-1413
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Country | US
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Telephone | 407-804-9090
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Fax | 407-804-9093
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Provider Business Mailing Address
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Address Line | PO BOX 953895
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City | LAKE MARY
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State | FL
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Zip | 32795-3895
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Country | US
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Telephone | 407-619-1990
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Fax | 407-804-9093
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Authorized Official
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Title or Position | OWNER
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Name | ROXANA A LASCU
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Credential | MD
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Telephone | 407-619-1990
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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 |
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License Number State |
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