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General NPI Number Information
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NPI Number | 1760911796
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Entity Type | Organization
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Legal Business Name | DR DAN PLASTIC SURGERY
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Dates
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Enumeration Date | 06/04/2017
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Last Update Date | 07/24/2021
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Provider Practice Location Address
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Address Line | 2122 NW 62ND ST STE 229
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City | FORT LAUDERDALE
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State | FL
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Zip | 33309-1858
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Country | US
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Telephone | 954-991-8200
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4651
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City | FORT LAUDERDALE
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State | FL
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Zip | 33338-4651
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Country | US
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Telephone | 954-991-8200
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. DAN GEORGESCU
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Credential | MD
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Telephone | 954-681-3401
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207WX0200X
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Taxonomy Name | Ophthalmic Plastic and Reconstructive Surgery Physician
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License Number |
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License Number State |
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