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General NPI Number Information
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NPI Number | 1053815134
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Entity Type | Individual
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Provider Name | JULIA ANN PALKO
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Gender | Female
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Dates
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Enumeration Date | 03/22/2018
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 6400 MONTERREY CREEK DR APT 103
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City | DURHAM
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State | NC
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Zip | 27713-6263
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Country | US
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Telephone | 410-980-0315
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Fax |
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Provider Business Mailing Address
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Address Line | 6400 MONTERREY CREEK DR APT 103
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City | DURHAM
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State | NC
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Zip | 27713-6263
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Country | US
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Telephone |
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 5014988
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 163WX0200X
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Taxonomy Name | Oncology Registered Nurse
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License Number | 258206
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License Number State | NC
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