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General NPI Number Information
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NPI Number | 1568358802
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Entity Type | Individual
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Provider Name | VESNA PETROVIC L.AC., DACCHM
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Gender | Female
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Dates
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Enumeration Date | 06/13/2025
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Last Update Date | 06/13/2025
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Provider Practice Location Address
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Address Line | 2 VAN CIR STE 1
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City | LITTLE ROCK
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State | AR
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Zip | 72207-5273
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Country | US
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Telephone | 501-680-8678
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Fax |
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Provider Business Mailing Address
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Address Line | 127 AUDUBON DR STE C
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City | MAUMELLE
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State | AR
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Zip | 72113-5836
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Country | US
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Telephone | 501-680-8678
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 099
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License Number State | AR
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