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General NPI Number Information
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NPI Number | 1346370137
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Entity Type | Individual
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Provider Name | MILAN RADOJICIC M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 02/02/2022
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Provider Practice Location Address
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Address Line | 650 5TH ST STE 405
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City | SAN FRANCISCO
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State | CA
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Zip | 94107
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Country | US
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Telephone | 408-205-8233
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Fax | 408-205-8233
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Provider Business Mailing Address
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Address Line | 6130 W FLAMINGO RD # 6030
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City | LAS VEGAS
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State | NV
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Zip | 89103-2280
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Country | US
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Telephone | 408-205-8233
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Fax | 408-205-8233
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 20260
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 43761
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A89225
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License Number State | CA
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