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General NPI Number Information
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NPI Number | 1174009989
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Entity Type | Individual
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Provider Name | ZORANA GRUJIC MD
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Gender | Female
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Dates
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Enumeration Date | 07/15/2018
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Last Update Date | 07/30/2024
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Provider Practice Location Address
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Address Line | 425 NURSING HOME DR
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City | ARCADIA
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State | FL
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Zip | 34266-3839
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Country | US
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Telephone | 863-993-2966
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Fax | 863-494-5491
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Provider Business Mailing Address
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Address Line | 2995 DREW ST
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City | CLEARWATER
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State | FL
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Zip | 33759-3012
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Country | US
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Telephone | 727-315-7496
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 125.071993
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME147734
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License Number State | FL
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