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General NPI Number Information
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NPI Number | 1114279684
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Entity Type | Individual
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Provider Name | JULIE LOUISE STONEHAM LCSW
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Gender | Female
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Dates
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Enumeration Date | 10/09/2012
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Last Update Date | 09/03/2019
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Provider Practice Location Address
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Address Line | 13940 N US HIGHWAY 441 STE 210
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City | LADY LAKE
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State | FL
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Zip | 32159-8909
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Country | US
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Telephone | 352-374-3222
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Fax | 352-268-1168
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Provider Business Mailing Address
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Address Line | 15230 SE 105TH AVE
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City | SUMMERFIELD
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State | FL
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Zip | 34491-4618
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Country | US
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Telephone | 919-946-0143
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW14448
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License Number State | FL
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