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General NPI Number Information
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NPI Number | 1588634992
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Entity Type | Individual
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Provider Name | DUSICA BABOVIC-VUKSANOVIC M.D.
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Gender | Female
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Dates
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Enumeration Date | 01/26/2006
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 200 1ST ST SW
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City | ROCHESTER
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State | MN
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Zip | 55905
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Country | US
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Telephone | 507-284-3215
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Fax |
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Provider Business Mailing Address
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Address Line | 200 1ST ST SW
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City | ROCHESTER
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State | MN
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Zip | 55905-0001
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Country | US
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Telephone | 507-284-3215
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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 | 207SG0201X
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Taxonomy Name | Clinical Genetics (M.D.) Physician
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License Number | ME128576
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207SG0201X
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Taxonomy Name | Clinical Genetics (M.D.) Physician
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License Number | 39540
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 207SG0201X
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Taxonomy Name | Clinical Genetics (M.D.) Physician
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License Number | 52000
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License Number State | AZ
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Taxonomy #4
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Taxonomy Code | 207SG0201X
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Taxonomy Name | Clinical Genetics (M.D.) Physician
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License Number | 40930
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License Number State | WI
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