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General NPI Number Information
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NPI Number | 1821180860
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Entity Type | Individual
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Provider Name | PETER RADU POPA MD
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Gender | Male
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 500 GRAND AVE
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City | ENGLEWOOD
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State | NJ
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Zip | 07631-4967
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Country | US
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Telephone | 201-567-8090
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Fax |
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Provider Business Mailing Address
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Address Line | 1056 BRIAR WAY
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City | FORT LEE
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State | NJ
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Zip | 07024-6344
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Country | US
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Telephone | 201-247-6212
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MA070130
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License Number State | NJ
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