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General NPI Number Information
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NPI Number | 1013323278
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Entity Type | Individual
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Provider Name | JULIE NUGENT ACNPC-AG
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Gender | Female
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Dates
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Enumeration Date | 07/09/2014
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Last Update Date | 03/20/2024
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Provider Practice Location Address
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Address Line | 2215 E VILLA MARIA RD SUITE 110
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City | BRYAN
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State | TX
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Zip | 77802-2584
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Country | US
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Telephone | 979-776-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 5301 DRAYCOTT CT
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City | BRYAN
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State | TX
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Zip | 77802-6065
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Country | US
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Telephone | 979-229-7536
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | AP125950
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License Number State | TX
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