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General NPI Number Information
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NPI Number | 1578556874
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Entity Type | Individual
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Provider Name | JOVAN POPOVIC M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/23/2005
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Last Update Date | 09/27/2022
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Provider Practice Location Address
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Address Line | 339 EAST 38TH STREET
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City | NEW YORK
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State | NY
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Zip | 10016
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Country | US
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Telephone | 212-263-1116
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Fax |
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Provider Business Mailing Address
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Address Line | 339 E 38TH ST
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City | NEW YORK
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State | NY
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Zip | 10016-2745
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Country | US
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Telephone | 212-263-1116
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 227783
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License Number State | NY
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