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General NPI Number Information
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NPI Number | 1700337516
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Entity Type | Individual
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Provider Name | RADU STOICA LMP
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Gender | Male
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Dates
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Enumeration Date | 10/17/2016
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Last Update Date | 10/17/2016
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Provider Practice Location Address
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Address Line | 3405 188TH ST SW #105
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City | LYNNWOOD
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State | WA
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Zip | 98037-4744
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Country | US
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Telephone | 425-775-6767
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Fax | 425-774-0796
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Provider Business Mailing Address
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Address Line | 7622 201ST ST SE
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City | SNOHOMISH
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State | WA
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Zip | 98296-5159
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Country | US
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Telephone | 425-775-6767
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Fax | 425-774-0796
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MA00006358
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License Number State | WA
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