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General NPI Number Information
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NPI Number | 1700336583
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Entity Type | Organization
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Legal Business Name | TIBERIU AVRAM MD PC
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Dates
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Enumeration Date | 10/05/2016
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Last Update Date | 01/25/2017
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Provider Practice Location Address
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Address Line | 3020 N MCCORD RD SUITE 201A
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City | TOLEDO
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State | OH
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Zip | 43615-1744
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Country | US
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Telephone | 419-450-0045
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Fax |
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Provider Business Mailing Address
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Address Line | 3020 N MCCORD RD SUITE 201A
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City | TOLEDO
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State | OH
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Zip | 43615-1744
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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 | PRESIDENT
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Name | TIBERIU AVRAM
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Credential | M.D.
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Telephone | 419-450-0045
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 35.087285
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License Number State | OH
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