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NPI 1649084310

NPI 1649084310 : SANDRA BUGARIU PA-C : URBANA, OH

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General NPI Number Information
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    NPI Number           |    1649084310
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    Entity Type          |    Individual 
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    Provider Name        |    SANDRA BUGARIU PA-C
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/04/2025
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    Last Update Date     |    09/19/2025
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Provider Practice Location Address
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    Address Line         |    904 SCIOTO ST 
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    City                 |    URBANA
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    State                |    OH
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    Zip                  |    43078-2226
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    Country              |    US
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    Telephone            |    937-484-6680
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    Fax                  |    937-684-9991
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Provider Business Mailing Address
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    Address Line         |    300 COLLEGE PARK AVE 
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    City                 |    DAYTON
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    State                |    OH
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    Zip                  |    45469-0001
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    Country              |    US
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    Telephone            |    937-229-1000
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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        |    363A00000X
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    Taxonomy Name        |    Physician Assistant
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    License Number       |    
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    License Number State |    
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