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General NPI Number Information
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NPI Number | 1033320551
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Entity Type | Organization
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Legal Business Name | LJUBISA M. STANKOVIC, M.D., PC
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Dates
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Enumeration Date | 05/25/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 797 POPLAR CHURCH RD
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City | CAMP HILL
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State | PA
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Zip | 17011-2314
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Country | US
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Telephone | 717-763-4383
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Fax | 717-763-4953
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Provider Business Mailing Address
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Address Line | 797 POPLAR CHURCH RD
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City | CAMP HILL
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State | PA
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Zip | 17011-2314
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Country | US
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Telephone | 717-763-4383
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Fax | 717-763-4953
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LJUBISA MIHAJLO STANKOVIC
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Credential | M.D.
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Telephone | 717-763-4383
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | MD037459L
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License Number State | PA
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