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General NPI Number Information
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NPI Number | 1801807003
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Entity Type | Individual
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Provider Name | ANDREI POPA DMD
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Gender | Male
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Dates
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Enumeration Date | 08/11/2006
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Last Update Date | 04/23/2008
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Provider Practice Location Address
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Address Line | 530 S MAIN ST
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City | ORANGE
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State | CA
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Zip | 92868-4525
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Country | US
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Telephone | 714-571-3584
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Fax |
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Provider Business Mailing Address
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Address Line | 530 S MAIN ST
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City | ORANGE
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State | CA
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Zip | 92868-4525
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Country | US
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Telephone | 714-571-3584
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 7511
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 30022064
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License Number State | OH
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