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General NPI Number Information
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NPI Number | 1841013901
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Entity Type | Individual
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Provider Name | ANA MARIA VLASIC RN CLINICAL CASE MGR
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Gender | Female
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Dates
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Enumeration Date | 11/06/2024
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Last Update Date | 11/06/2024
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Provider Practice Location Address
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Address Line | 300 W HOSPITAL RD
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City | FT EISENHOWER
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State | GA
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Zip | 30905-5741
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Country | US
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Telephone | 706-787-8672
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Fax | 706-787-0105
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Provider Business Mailing Address
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Address Line | 300 W HOSPITAL RD
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City | FT EISENHOWER
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State | GA
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Zip | 30905-5741
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Country | US
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Telephone | 706-787-8672
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Fax | 706-787-0105
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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 | 163WA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Registered Nurse
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License Number | 648387-01
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | 648387-01
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number | 648387-01
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License Number State | NY
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