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General NPI Number Information
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NPI Number | 1760700942
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Entity Type | Individual
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Provider Name | MONICA BEATRICE CONSTANTINESCU M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/12/2010
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 1707 RIGGINS RD
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City | TALLAHASSEE
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State | FL
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Zip | 32308-5317
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Country | US
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Telephone | 850-877-4134
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Fax | 850-942-4112
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Provider Business Mailing Address
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Address Line | 8170 ROURK ST STE 175
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City | MYRTLE BEACH
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State | SC
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Zip | 29572-4127
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Country | US
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Telephone | 843-449-0453
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 310675
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 161615
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207NS0135X
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Taxonomy Name | Procedural Dermatology Physician
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License Number | 310675
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 207ND0101X
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Taxonomy Name | MOHS-Micrographic Surgery Physician
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License Number | 95769
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License Number State | SC
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Taxonomy #5
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | A114925
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License Number State | CA
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