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General NPI Number Information
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NPI Number | 1487822425
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Entity Type | Individual
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Provider Name | BEATRIS LUIZA DRAGONU MD
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Gender | Female
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Dates
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Enumeration Date | 02/12/2008
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Last Update Date | 08/21/2015
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Provider Practice Location Address
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Address Line | 8640 ROSWELL RD
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City | SANDY SPRINGS
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State | GA
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Zip | 30350-1821
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Country | US
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Telephone | 770-696-2697
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Fax | 770-676-7251
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Provider Business Mailing Address
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Address Line | 8640 ROSWELL RD
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City | SANDY SPRINGS
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State | GA
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Zip | 30350-1821
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Country | US
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Telephone | 770-696-2697
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Fax | 770-676-7251
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 52578
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 67209
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License Number State | GA
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