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General NPI Number Information
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NPI Number | 1427157429
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Entity Type | Individual
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Provider Name | CRISTIAN V CHIRITESCU M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 05/12/2011
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Provider Practice Location Address
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Address Line | 7915 US 301 N SUITE 102
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City | ELLENTON
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State | FL
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Zip | 34222-3531
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Country | US
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Telephone | 941-723-7877
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Fax | 941-723-7844
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Provider Business Mailing Address
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Address Line | 7915 US 301 N SUITE 102
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City | ELLENTON
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State | FL
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Zip | 34222-3531
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Country | US
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Telephone | 941-723-7877
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Fax | 941-723-7844
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | ME100713
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License Number State | FL
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