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General NPI Number Information
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NPI Number | 1144536533
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Entity Type | Individual
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Provider Name | JULIE ANN FARRELL RD, PA-C
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Gender | Female
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Dates
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Enumeration Date | 08/24/2010
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Last Update Date | 04/24/2026
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Provider Practice Location Address
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Address Line | 1581 N 9TH ST
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City | STROUDSBURG
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State | PA
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Zip | 18360-7531
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Country | US
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Telephone | 484-426-2600
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Fax | 610-336-4379
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Provider Business Mailing Address
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Address Line | 1581 N 9TH ST
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City | STROUDSBURG
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State | PA
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Zip | 18360-7531
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Country | US
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Telephone | 484-426-2600
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Fax | 610-336-4379
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | NU60172448
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | MA059487
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 25MP00373600
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License Number State | NJ
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