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General NPI Number Information
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NPI Number | 1730384181
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Entity Type | Individual
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Provider Name | DANIELA M TABACARU MD
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Gender | Female
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Dates
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Enumeration Date | 06/17/2007
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Last Update Date | 02/24/2025
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Provider Practice Location Address
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Address Line | 5052 CLAIREMONT DR
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City | SAN DIEGO
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State | CA
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Zip | 92117-2709
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Country | US
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Telephone | 858-376-7796
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Fax | 800-693-7058
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Provider Business Mailing Address
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Address Line | 5052 CLAIREMONT DR UNIT 178254
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City | SAN DIEGO
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State | CA
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Zip | 92177-4053
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Country | US
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Telephone | 858-376-7796
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Fax | 800-693-7058
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A98545
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License Number State | CA
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