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General NPI Number Information
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NPI Number | 1659330199
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Entity Type | Individual
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Provider Name | MLADEN PREDANIC MD MSC
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Gender | Male
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Dates
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Enumeration Date | 03/22/2006
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Last Update Date | 03/12/2026
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Provider Practice Location Address
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Address Line | 1510 W HWY 287 BYP STE 100
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City | WAXAHACHIE
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State | TX
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Zip | 75165-5059
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Country | US
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Telephone | 972-905-3778
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Fax | 844-213-5189
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Provider Business Mailing Address
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Address Line | 9330 LBJ FWY STE 800
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City | DALLAS
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State | TX
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Zip | 75243-4310
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Country | US
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Telephone | 972-792-5700
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Fax | 214-506-0117
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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 | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | N4680
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | N4680
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207VX0000X
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Taxonomy Name | Obstetrics Physician
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License Number | N4680
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License Number State | TX
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