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General NPI Number Information
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NPI Number | 1053618421
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Entity Type | Individual
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Provider Name | JULIE ANNE ORSAK LPC
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Gender | Female
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Dates
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Enumeration Date | 02/22/2011
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Last Update Date | 10/09/2024
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Provider Practice Location Address
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Address Line | 212 E BROADWAY ST
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City | PROSPER
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State | TX
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Zip | 75078-2935
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Country | US
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Telephone | 469-269-0951
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Fax |
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Provider Business Mailing Address
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Address Line | 3044 BIGLEAF DR
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City | LITTLE ELM
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State | TX
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Zip | 75068-6600
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Country | US
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Telephone | 469-269-0951
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 62342
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License Number State | TX
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