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General NPI Number Information
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NPI Number | 1043592967
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Entity Type | Individual
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Provider Name | JULIE A. TUMBELEKIS SLP
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Gender | Female
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Dates
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Enumeration Date | 09/16/2011
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Last Update Date | 09/16/2011
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Provider Practice Location Address
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Address Line | 400 W NORTH ST
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City | GENEVA
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State | NY
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Zip | 14456-1314
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Country | US
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Telephone | 315-781-0400
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Fax |
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Provider Business Mailing Address
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Address Line | 79 WHITE SPRINGS LN
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City | GENEVA
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State | NY
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Zip | 14456-3034
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Country | US
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Telephone | 585-317-8784
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 016705
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License Number State | NY
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