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General NPI Number Information
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NPI Number | 1477232452
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Entity Type | Individual
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Provider Name | ALEKSANDAR NIKOLIC
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Gender | Male
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Dates
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Enumeration Date | 07/17/2023
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Last Update Date | 04/18/2025
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Provider Practice Location Address
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Address Line | 10200 N 92ND ST STE 140
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-4535
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Country | US
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Telephone | 480-583-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 5243 W EUGIE AVE
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City | GLENDALE
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State | AZ
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Zip | 85304-1337
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Country | US
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Telephone | 602-334-9167
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 03443296
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | S027035
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License Number State | AZ
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