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General NPI Number Information
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NPI Number | 1013626365
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Entity Type | Individual
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Provider Name | JOHN DUJMOVIC APRN
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Gender | Male
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Dates
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Enumeration Date | 11/15/2022
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Last Update Date | 01/28/2026
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Provider Practice Location Address
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Address Line | 150 E SUNRISE HWY
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City | LINDENHURST
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State | NY
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Zip | 11757
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Country | US
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Telephone | 631-225-7200
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Fax |
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Provider Business Mailing Address
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Address Line | 150 E SUNRISE HWY
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City | LINDENHURST
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State | NY
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Zip | 11757
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | ARNP11024290
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 350583
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1069798
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License Number State | TX
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