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General NPI Number Information
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NPI Number | 1003793738
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Entity Type | Individual
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Provider Name | JULIA SAMARIN
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Gender | Female
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Dates
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Enumeration Date | 08/15/2025
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Last Update Date | 08/15/2025
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Provider Practice Location Address
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Address Line | 17581 IRVINE BLVD STE 114
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City | TUSTIN
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State | CA
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Zip | 92780-3123
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Country | US
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Telephone | 949-503-1414
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Fax |
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Provider Business Mailing Address
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Address Line | 250 W 1ST ST STE 214
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City | CLAREMONT
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State | CA
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Zip | 91711-4743
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Country | US
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Telephone | 909-935-9953
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Fax |
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 95036233
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License Number State | CA
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