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General NPI Number Information
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NPI Number | 1316223688
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Entity Type | Organization
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Legal Business Name | AIDA BAJRAMOVIC
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Dates
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Enumeration Date | 10/31/2011
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Last Update Date | 12/07/2011
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Provider Practice Location Address
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Address Line | 1801 ARLINGTON ST SUITE 101
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City | SARASOTA
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State | FL
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Zip | 34239-3502
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Country | US
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Telephone | 941-894-3490
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Fax |
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Provider Business Mailing Address
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Address Line | 1801 ARLINGTON ST SUITE 101
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City | SARASOTA
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State | FL
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Zip | 34239-3502
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Country | US
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Telephone | 941-894-3490
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN ASSISTANT
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Name | AIDA BAJRAMOVIC
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Credential | PA-C
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Telephone | 941-894-3490
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA9106276
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License Number State | FL
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