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General NPI Number Information
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NPI Number | 1881803476
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Entity Type | Individual
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Provider Name | MARIN CRACIUNESCU LPTA
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Gender | Male
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3800 PARK EAST DR
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City | BEACHWOOD
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State | OH
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Zip | 44122-4316
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Country | US
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Telephone | 216-825-2909
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Fax |
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Provider Business Mailing Address
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Address Line | 9284 OXFORD TRL
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City | BRECKSVILLE
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State | OH
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Zip | 44141-2500
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Country | US
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Telephone | 440-526-3481
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 4604
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License Number State | OH
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