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General NPI Number Information
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NPI Number | 1083054696
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Entity Type | Individual
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Provider Name | NANETTE RENEE JULIAN RN, NP
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Gender | Female
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Dates
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Enumeration Date | 06/27/2013
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 1 WALTER SCHOLER DR
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City | LAFAYETTE
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State | IN
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Zip | 47909-6303
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Country | US
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Telephone | 765-448-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 142 INDIAN ROCK DR
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City | WEST LAFAYETTE
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State | IN
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Zip | 47906-1212
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Country | US
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Telephone | 765-463-9169
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 71004588A
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License Number State | IN
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