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General NPI Number Information
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NPI Number | 1023463692
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Entity Type | Individual
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Provider Name | JULIE LYNN VUKSIC RDN
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Gender | Female
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Dates
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Enumeration Date | 05/02/2016
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Last Update Date | 09/15/2026
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Provider Practice Location Address
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Address Line | 25392 SERENA CT
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City | MISSION VIEJO
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State | CA
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Zip | 92691-3745
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Country | US
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Telephone | 949-395-4737
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Fax |
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Provider Business Mailing Address
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Address Line | 25392 SERENA CT
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City | MISSION VIEJO
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State | CA
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Zip | 92691-3745
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Country | US
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Telephone | 949-395-4737
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 164.005972
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | DI 60417726
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 8499908
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | LD-D-10176085
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License Number State | OR
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Taxonomy #5
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 8541494-4901
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License Number State | UT
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