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General NPI Number Information
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NPI Number | 1821459256
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Entity Type | Organization
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Legal Business Name | STEFAN NOVAC MD, P.A.
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Dates
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Enumeration Date | 03/12/2016
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Last Update Date | 12/11/2018
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Provider Practice Location Address
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Address Line | 601 N FLAMINGO RD STE 406
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City | PEMBROKE PINES
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State | FL
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Zip | 33028-1012
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Country | US
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Telephone | 954-666-0341
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Fax | 206-333-1938
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Provider Business Mailing Address
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Address Line | 1812 VICTORIA POINTE CIR
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City | WESTON
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State | FL
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Zip | 33327-1307
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Country | US
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Telephone | 954-666-0341
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Fax | 206-333-1938
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Authorized Official
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Title or Position | DIRECTOR
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Name | STEFAN NOVAC
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Credential | M.D.
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Telephone | 754-229-9124
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | ME113453
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License Number State | FL
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