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General NPI Number Information
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NPI Number | 1477997484
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Entity Type | Individual
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Provider Name | MIROSLAV SEKULIC M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/20/2013
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Last Update Date | 04/07/2020
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Provider Practice Location Address
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Address Line | 11100 EUCLID AVENUE UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER, PTH 5077
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City | CLEVELAND
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State | OH
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Zip | 44106-4410
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Country | US
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Telephone | 804-677-1280
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Fax |
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Provider Business Mailing Address
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Address Line | 11100 EUCLID AVENUE UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER, PTH 5077
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City | CLEVELAND
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State | OH
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Zip | 44106
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Country | US
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Telephone | 804-677-1280
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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 | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 35.134562
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License Number State | OH
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