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General NPI Number Information
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NPI Number | 1932119195
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Entity Type | Organization
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Legal Business Name | VUJEVICH DERMATOLOGY ASSOCIATES PC
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Dates
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Enumeration Date | 08/09/2006
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Last Update Date | 09/25/2008
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Provider Practice Location Address
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Address Line | 100 N WREN DR
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City | PITTSBURGH
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State | PA
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Zip | 15243-1248
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Country | US
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Telephone | 412-429-2570
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Fax | 412-429-2972
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Provider Business Mailing Address
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Address Line | 100 N WREN DR
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City | PITTSBURGH
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State | PA
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Zip | 15243-1248
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Country | US
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Telephone | 412-429-2570
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Fax | 412-429-2972
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JUSTIN VUJEVICH
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Credential | MD
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Telephone | 412-429-2570
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | MD029853L
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License Number State | PA
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