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General NPI Number Information
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NPI Number | 1699334755
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Entity Type | Individual
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Provider Name | RAZVAN D POPESCU MD
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Gender | Male
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Dates
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Enumeration Date | 06/11/2019
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Last Update Date | 09/17/2024
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Provider Practice Location Address
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Address Line | 676 N SAINT CLAIR ST STE 1000
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City | CHICAGO
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State | IL
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Zip | 60611-2976
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Country | US
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Telephone | 312-695-5060
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Fax | 312-695-5507
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Provider Business Mailing Address
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Address Line | 1000 OAKLAND DR
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City | KALAMAZOO
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State | MI
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Zip | 49008-1282
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Country | US
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Telephone |
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 4351045459
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 036165770
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License Number State | IL
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