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General NPI Number Information
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NPI Number | 1104122282
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Entity Type | Organization
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Legal Business Name | NARODNI DOKTOR LLC
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Dates
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Enumeration Date | 02/07/2011
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Last Update Date | 02/07/2011
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Provider Practice Location Address
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Address Line | 7901 4TH ST N SUITE 325
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City | ST PETERSBURG
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State | FL
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Zip | 33702-4305
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Country | US
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Telephone | 727-453-0583
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Fax | 727-362-3649
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Provider Business Mailing Address
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Address Line | 7901 4TH ST N SUITE 325
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City | ST PETERSBURG
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State | FL
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Zip | 33702-4305
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Country | US
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Telephone | 727-453-0583
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Fax | 727-362-3649
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. DEJAN H DJOLIC
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Credential | D.C.
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Telephone | 727-453-0583
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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