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General NPI Number Information
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NPI Number | 1013005297
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Entity Type | Individual
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Provider Name | JULIE DENISE LATIMER LVN
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Gender | Female
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Dates
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Enumeration Date | 10/11/2006
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Last Update Date | 09/29/2017
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Provider Practice Location Address
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Address Line | 1532 ROSALIND ST
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City | SACRAMENTO
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State | CA
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Zip | 95838-4535
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Country | US
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Telephone | 916-840-7074
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Fax |
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Provider Business Mailing Address
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Address Line | 1532 ROSALIND STREET
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City | SACRAMENTO
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State | CA
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Zip | 95838
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Country | US
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Telephone | 916-840-7074
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Fax | 707-439-3103
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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 | 164X00000X
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Taxonomy Name | Licensed Vocational Nurse
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License Number | VN285688
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | L0037140
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License Number State | OK
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