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General NPI Number Information
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NPI Number | 1164091245
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Entity Type | Individual
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Provider Name | MILICA BOZOVIC M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/22/2021
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Last Update Date | 02/02/2026
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Provider Practice Location Address
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Address Line | 417 W 3RD AVE PHOEBE PUTNEY MEMORIAL HOSPITAL
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City | ALBANY
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State | GA
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Zip | 31701-1943
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Country | US
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Telephone | 229-312-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 173 PELHAM DR APT A
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City | LEESBURG
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State | GA
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Zip | 31763-5137
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Country | US
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Telephone | 347-293-9304
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 99391
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License Number State | GA
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