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General NPI Number Information
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NPI Number | 1821256546
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Entity Type | Individual
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Provider Name | SERBAN ANDREI NICOLAESCU DMD
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Gender | Male
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Dates
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Enumeration Date | 05/29/2008
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Last Update Date | 02/28/2016
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Provider Practice Location Address
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Address Line | 1685 CROWN AVE
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City | LANCASTER
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State | PA
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Zip | 17601-6322
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Country | US
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Telephone | 717-481-7645
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Fax |
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Provider Business Mailing Address
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Address Line | 536 BROOKSHIRE DR
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City | LANCASTER
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State | PA
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Zip | 17601-5087
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Country | US
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Telephone | 847-977-1564
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | DS037368
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License Number State | PA
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