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General NPI Number Information
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NPI Number | 1447247788
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Entity Type | Individual
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Provider Name | OLIMPIA A RADU MD
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Gender | Female
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Dates
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Enumeration Date | 10/03/2005
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Last Update Date | 08/24/2023
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Provider Practice Location Address
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Address Line | 375 WAMPANOAG TRL
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City | RIVERSIDE
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State | RI
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Zip | 02915-2232
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Country | US
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Telephone | 401-649-4050
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Fax | 401-649-4051
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Provider Business Mailing Address
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Address Line | 110 ELM ST
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City | PROVIDENCE
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State | RI
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Zip | 02903-4626
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Country | US
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Telephone | 401-448-4992
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Fax | 401-537-7241
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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 | MD17805
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | MD17805
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License Number State | RI
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Taxonomy #3
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | MD17805
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License Number State | RI
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Taxonomy #4
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number | MD17805
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License Number State | RI
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Taxonomy #5
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | MD17805
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License Number State | RI
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