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General NPI Number Information
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NPI Number | 1740389550
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Entity Type | Individual
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Provider Name | MICHAEL GEORGE STOJANOVIC D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3940 S ALMA SCHOOL RD SUITE 1
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City | CHANDLER
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State | AZ
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Zip | 85248-4513
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Country | US
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Telephone | 480-726-0360
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Fax | 480-857-0442
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Provider Business Mailing Address
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Address Line | 1410 E CRESCENT WAY
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City | CHANDLER
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State | AZ
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Zip | 85249-3148
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Country | US
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Telephone | 480-734-1524
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Fax | 480-857-0442
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 4581
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License Number State | AZ
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