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General NPI Number Information
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NPI Number | 1164553731
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Entity Type | Individual
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Provider Name | JULIE LYNN ANDERSON ARNP
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Gender | Female
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Dates
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Enumeration Date | 03/08/2007
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Last Update Date | 01/11/2019
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Provider Practice Location Address
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Address Line | 231 W ROCALLA AVE
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City | AJO
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State | AZ
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Zip | 85321
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Country | US
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Telephone | 206-760-9266
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Fax | 206-760-9807
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Provider Business Mailing Address
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Address Line | 231 W ROCALLA AVE
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City | AJO
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State | AZ
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Zip | 85321
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Country | US
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Telephone | 206-760-9266
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Fax | 206-760-9807
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP30002405
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP11162
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN00080680
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License Number State | WA
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