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General NPI Number Information
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NPI Number | 1942721428
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Entity Type | Individual
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Provider Name | BOGDAN NICOLAE NEGRUT DMD
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Gender | Male
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Dates
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Enumeration Date | 07/05/2017
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Last Update Date | 07/05/2017
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Provider Practice Location Address
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Address Line | 2648 NW FEDERAL HWY
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City | STUART
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State | FL
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Zip | 34994-9318
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Country | US
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Telephone | 772-324-3414
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Fax |
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Provider Business Mailing Address
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Address Line | 2543 SW CONCH COVE LN
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City | PALM CITY
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State | FL
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Zip | 34990-2819
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Country | US
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Telephone | 954-478-4010
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN22863
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License Number State | FL
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