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NPI 1427316934

NPI 1427316934 : MS. ANA POPESCU : ANAHEIM, CA

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General NPI Number Information
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    NPI Number           |    1427316934
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    Entity Type          |    Individual 
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    Provider Name        |    MS. ANA POPESCU
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/03/2012
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    Last Update Date     |    05/03/2012
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Provider Practice Location Address
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    Address Line         |    300 HARBOR BLVD 
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    City                 |    ANAHEIM
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    State                |    CA
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    Zip                  |    92805
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    Country              |    US
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    Telephone            |    714-535-0270
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    7892 RONALD DR APT C 
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    City                 |    HUNTINGTON BEACH
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    State                |    CA
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    Zip                  |    92647-7530
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    Country              |    US
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    Telephone            |    714-726-7231
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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        |    225200000X
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    Taxonomy Name        |    Physical Therapy Assistant
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    License Number       |    AT 5202
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    License Number State |    CA
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