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General NPI Number Information
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NPI Number | 1518932144
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Entity Type | Organization
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Legal Business Name | STELIAN MARINESCU MD PC
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Dates
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Enumeration Date | 02/17/2006
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Last Update Date | 02/11/2008
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Provider Practice Location Address
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Address Line | 23100 CHERRY HILL SUITE 5
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City | DEARBORN
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State | MI
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Zip | 48124
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Country | US
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Telephone | 313-359-3652
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Fax | 313-359-3654
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Provider Business Mailing Address
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Address Line | 1193 COPPERWOOD
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City | BLOOMFIELD TWP
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State | MI
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Zip | 48302
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Country | US
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Telephone | 313-359-3652
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Fax | 313-359-3654
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Authorized Official
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Title or Position | OWNER MANAGING AGENT
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Name | STELIAN MARINESCU
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Credential | MD
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Telephone | 313-359-3652
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 4301053643
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License Number State | MI
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