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General NPI Number Information
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NPI Number | 1033382684
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Entity Type | Individual
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Provider Name | JULIA LAVERNE FURNISS-ROBERTS APRN
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Gender | Female
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Dates
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Enumeration Date | 04/03/2008
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Last Update Date | 03/20/2023
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Provider Practice Location Address
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Address Line | 432 S 9TH STREET
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City | JAY
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State | OK
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Zip | 74346
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Country | US
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Telephone | 918-253-4511
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Fax |
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Provider Business Mailing Address
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Address Line | 103 LION DR N
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City | GRAVETTE
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State | AR
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Zip | 72736-8621
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Country | US
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Telephone | 479-212-0951
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | M0068281
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License Number State | OK
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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 | A003077
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License Number State | AR
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Taxonomy #3
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 68281
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License Number State | OK
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Taxonomy #4
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | R751003
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License Number State | MS
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