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General NPI Number Information
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NPI Number | 1164510699
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Entity Type | Individual
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Provider Name | JULIA W TRUDEAU D.C.
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Gender | Female
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Dates
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Enumeration Date | 10/10/2006
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Last Update Date | 11/30/2012
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Provider Practice Location Address
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Address Line | 801 VOLVO PKWY STE 118
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City | CHESAPEAKE
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State | VA
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Zip | 23320-2811
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Country | US
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Telephone | 757-469-6677
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Fax | 757-436-6789
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Provider Business Mailing Address
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Address Line | 801 VOLVO PKWY STE 118
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City | CHESAPEAKE
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State | VA
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Zip | 23320-2811
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Country | US
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Telephone | 757-469-6677
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Fax | 757-436-6789
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 01040001183
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License Number State | VA
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