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General NPI Number Information
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NPI Number | 1356870919
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Entity Type | Individual
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Provider Name | ZUHDIJA PURIC
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Gender | Male
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Dates
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Enumeration Date | 06/07/2017
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Last Update Date | 08/02/2024
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Provider Practice Location Address
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Address Line | 7 INDEPENDENCE PT STE 300
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City | GREENVILLE
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State | SC
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Zip | 29615-4569
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Country | US
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Telephone | 864-522-3700
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Fax | 864-522-3705
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Provider Business Mailing Address
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Address Line | PO BOX 751461
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City | CHARLOTTE
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State | NC
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Zip | 28275-1461
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Country | US
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Telephone | 843-792-1414
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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 | 367H00000X
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Taxonomy Name | Anesthesiologist Assistant
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License Number | AA384
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 367H00000X
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Taxonomy Name | Anesthesiologist Assistant
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License Number | MAA78
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 367H00000X
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Taxonomy Name | Anesthesiologist Assistant
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License Number | 78
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License Number State | SC
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