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General NPI Number Information
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NPI Number | 1841853371
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Entity Type | Individual
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Provider Name | RAZVAN IORGA M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/19/2019
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Last Update Date | 02/04/2026
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Provider Practice Location Address
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Address Line | 125 PLAZA DR
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City | SIKESTON
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State | MO
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Zip | 63801-5136
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Country | US
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Telephone | 573-472-7124
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Fax | 573-472-6019
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Provider Business Mailing Address
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Address Line | 1008 N MAIN ST
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City | SIKESTON
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State | MO
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Zip | 63801-5044
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Country | US
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Telephone | 609-903-1669
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 2024022490
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License Number State | MO
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