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General NPI Number Information
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NPI Number | 1053909010
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Entity Type | Individual
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Provider Name | NATALIE JULIUS
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Gender | Female
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Dates
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Enumeration Date | 01/05/2021
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Last Update Date | 01/23/2021
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Provider Practice Location Address
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Address Line | 1204 SAN FERNANDO RD
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City | SAN FERNANDO
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State | CA
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Zip | 91340-3205
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Country | US
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Telephone | 818-361-2679
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Fax |
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Provider Business Mailing Address
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Address Line | 28524 ROCK CANYON DR
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City | SANTA CLARITA
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State | CA
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Zip | 91390-5242
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Country | US
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Telephone | 661-406-8741
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | RPH83828
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RPH83828
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License Number State | CA
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