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General NPI Number Information
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NPI Number | 1902244957
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Entity Type | Individual
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Provider Name | CORNELIU NATANAEL STANCIU MD, MRO, FASAM
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Gender | Male
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Dates
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Enumeration Date | 06/12/2013
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Last Update Date | 12/26/2024
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Provider Practice Location Address
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Address Line | 148 COOLIDGE AVE
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City | MANCHESTER
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State | NH
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Zip | 03102-3493
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Country | US
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Telephone | 603-883-0005
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Fax |
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Provider Business Mailing Address
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Address Line | 4800 N SCOTTSDALE RD STE 2500
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-7630
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Country | US
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Telephone |
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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 | 2084P0802X
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Taxonomy Name | Addiction Psychiatry Physician
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License Number | FS6182997
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2084P0802X
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Taxonomy Name | Addiction Psychiatry Physician
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License Number | FS6877914
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License Number State | NH
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