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General NPI Number Information
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NPI Number | 1508182346
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Entity Type | Individual
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Provider Name | PAVLE DOROSLOVACKI MD
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Gender | Male
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Dates
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Enumeration Date | 04/19/2010
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 1622 LOCUST ST
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City | PITTSBURGH
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State | PA
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Zip | 15219-5924
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Country | US
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Telephone | 412-647-2200
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Fax | 724-786-7690
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Provider Business Mailing Address
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Address Line | 1622 LOCUST ST # 5.320B
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City | PITTSBURGH
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State | PA
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Zip | 15219-5924
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Country | US
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Telephone | 412-642-5381
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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 | 207WX0200X
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Taxonomy Name | Ophthalmic Plastic and Reconstructive Surgery Physician
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License Number | MD447548
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | MD447548
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License Number State | PA
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