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General NPI Number Information
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NPI Number | 1518448042
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Entity Type | Organization
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Legal Business Name | ANDREIA R POP MD PC
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Dates
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Enumeration Date | 08/23/2018
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Last Update Date | 08/02/2019
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Provider Practice Location Address
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Address Line | 2375 E PRATER WAY FL 7
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City | SPARKS
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State | NV
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Zip | 89434
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Country | US
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Telephone | 775-219-8969
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Fax |
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Provider Business Mailing Address
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Address Line | 4790 CAUGHLIN PKWY # 176
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City | RENO
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State | NV
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Zip | 89519-0907
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Country | US
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Telephone | 775-219-8969
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Fax |
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | ANDREIA R POP
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Credential | MD
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Telephone | 775-219-8969
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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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