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General NPI Number Information
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NPI Number | 1013226000
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Entity Type | Individual
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Provider Name | JULIE THILL STELLMAN CCC, SLP
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Gender | Female
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Dates
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Enumeration Date | 09/25/2010
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Last Update Date | 09/25/2010
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Provider Practice Location Address
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Address Line | 169 TEQUESTA DR 11 E
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City | TEQUESTA
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State | FL
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Zip | 33469-2768
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Country | US
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Telephone | 561-747-8188
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Fax | 561-747-8388
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Provider Business Mailing Address
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Address Line | 6822 SE RAINTREE AVE
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City | STUART
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State | FL
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Zip | 34997-2241
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Country | US
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Telephone | 772-283-9523
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SA 10504
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License Number State | FL
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