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General NPI Number Information
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NPI Number | 1699032672
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Entity Type | Individual
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Provider Name | RAZVAN ANDREI PAVELESCU DPM
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Gender | Male
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Dates
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Enumeration Date | 04/16/2012
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Last Update Date | 04/23/2022
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Provider Practice Location Address
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Address Line | 14 PENN PLZ STE 1005
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City | NEW YORK
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State | NY
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Zip | 10122-1005
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Country | US
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Telephone | 212-564-7644
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Fax | 212-564-7645
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Provider Business Mailing Address
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Address Line | 22 W 85TH ST APT 3B
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City | NEW YORK
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State | NY
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Zip | 10024-4535
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Country | US
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Telephone | 734-837-2180
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | PO4329
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 006786
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License Number State | NY
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