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General NPI Number Information
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NPI Number | 1952632440
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Entity Type | Organization
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Legal Business Name | MILAN P. KRICKOVIC, M.D., LTD.
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Dates
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Enumeration Date | 01/22/2010
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Last Update Date | 01/22/2010
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Provider Practice Location Address
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Address Line | 7605 FOREST AVE SUITE 109
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City | RICHMOND
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State | VA
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Zip | 23229-4938
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Country | US
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Telephone | 804-288-8313
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Fax | 804-287-4365
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Provider Business Mailing Address
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Address Line | 7605 FOREST AVE SUITE 109
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City | RICHMOND
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State | VA
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Zip | 23229-4938
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Country | US
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Telephone | 804-288-8313
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Fax | 804-287-4365
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Authorized Official
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Title or Position | PRESIDENT OF CORPORATION/PHYSICIAN
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Name | DR. MILAN PIERSOL KRICKOVIC
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Credential | M.D.
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Telephone | 804-288-8313
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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