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General NPI Number Information
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NPI Number | 1033561188
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Entity Type | Individual
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Provider Name | JULIA LEE ECHOLS MSN, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/12/2016
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Last Update Date | 04/26/2022
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Provider Practice Location Address
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Address Line | 11260 E JEFFERSON AVE
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City | DETROIT
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State | MI
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Zip | 48214-3320
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Country | US
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Telephone | 313-306-5494
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 746723
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City | ATLANTA
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State | GA
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Zip | 30374-6723
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Country | US
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Telephone | 127-339-7303
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Fax | 773-866-8014
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4704186764
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License Number State | MI
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