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General NPI Number Information
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NPI Number | 1912403403
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Entity Type | Individual
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Provider Name | MOLDOVAN SABOV MD
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Gender | Male
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Dates
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Enumeration Date | 04/03/2018
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Last Update Date | 10/25/2024
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Provider Practice Location Address
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Address Line | 1223 S GEAR AVE STE 205
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City | WEST BURLINGTON
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State | IA
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Zip | 52655-1685
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Country | US
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Telephone | 319-768-4380
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Fax |
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Provider Business Mailing Address
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Address Line | 11150 MEMORIAL PARK RD
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City | BURLINGTON
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State | IA
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Zip | 52601-8614
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Country | US
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Telephone | 727-504-0725
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 68754
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | MD-51564
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License Number State | IA
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