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General NPI Number Information
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NPI Number | 1639450810
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Entity Type | Organization
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Legal Business Name | DANIEL J VUJNOVICH PLLC
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Dates
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Enumeration Date | 09/01/2011
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Last Update Date | 09/01/2011
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Provider Practice Location Address
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Address Line | 2486 PASS RD
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City | BILOXI
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State | MS
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Zip | 39531-2838
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Country | US
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Telephone | 228-388-6006
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Fax | 228-388-6027
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Provider Business Mailing Address
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Address Line | 2486 PASS RD
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City | BILOXI
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State | MS
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Zip | 39531-2838
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Country | US
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Telephone | 228-388-6006
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Fax | 228-388-6027
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Authorized Official
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Title or Position | SOLE PROPIETOR
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Name | DANIEL J VUJNOVICH
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Credential | PHD
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Telephone | 228-388-6006
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 1709
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License Number State | MS
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