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General NPI Number Information
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NPI Number | 1023020591
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Entity Type | Individual
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Provider Name | JULIA WILSON CNP MSN
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Gender | Female
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Dates
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Enumeration Date | 08/13/2006
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Last Update Date | 01/25/2022
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Provider Practice Location Address
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Address Line | 4191 KELNOR DR STE 200
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City | GROVE CITY
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State | OH
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Zip | 43123-3990
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Country | US
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Telephone | 614-533-6140
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Fax | 614-533-6141
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Provider Business Mailing Address
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Address Line | 5450 FRANTZ RD STE 360
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City | DUBLIN
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State | OH
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Zip | 43016-4141
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Country | US
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Telephone | 614-544-6155
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Fax | 614-544-6370
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN.CNP.07935
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | APRN.CNP.07935
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License Number State | OH
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