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General NPI Number Information
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NPI Number | 1801292552
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Entity Type | Organization
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Legal Business Name | CARMEN D CIRSTEA MD PA
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Dates
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Enumeration Date | 11/07/2014
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Last Update Date | 03/04/2015
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Provider Practice Location Address
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Address Line | 19016 STONE OAK PKWY SUITE 210
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City | SAN ANTONIO
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State | TX
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Zip | 78258-3280
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Country | US
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Telephone | 210-667-4217
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Fax | 210-667-4417
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Provider Business Mailing Address
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Address Line | 19016 STONE OAK PKWY SUITE 210
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City | SAN ANTONIO
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State | TX
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Zip | 78258-3280
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Country | US
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Telephone | 210-667-4217
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Fax | 210-667-4417
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CARMEN DANIELA CIRSTEA
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Credential | MD
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Telephone | 210-667-4217
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | P5054
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License Number State | TX
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