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General NPI Number Information
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NPI Number | 1811123276
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Entity Type | Organization
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Legal Business Name | M. C. NEAGU DDS, MS, INC.
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Dates
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Enumeration Date | 05/29/2009
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Last Update Date | 05/29/2009
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Provider Practice Location Address
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Address Line | 194 S ALVARADO ST
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City | LOS ANGELES
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State | CA
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Zip | 90057-2211
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Country | US
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Telephone | 213-927-2030
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Fax | 213-413-8246
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Provider Business Mailing Address
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Address Line | 194 S ALVARADO ST
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City | LOS ANGELES
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State | CA
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Zip | 90057-2211
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Country | US
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Telephone | 213-927-2030
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Fax | 213-413-8246
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Authorized Official
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Title or Position | OWNER/ DOCTOR
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Name | CAMILLE NEAGU
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Credential | DDS, MS
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Telephone | 213-927-2030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number | 44342
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License Number State | CA
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