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General NPI Number Information
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NPI Number | 1174350821
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Entity Type | Individual
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Provider Name | JULIAN URBINA
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Gender | Male
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Dates
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Enumeration Date | 09/17/2024
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Last Update Date | 09/17/2024
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Provider Practice Location Address
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Address Line | 4915 SAINT ELMO AVE STE 504
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City | BETHESDA
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State | MD
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Zip | 20814-6019
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Country | US
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Telephone | 301-229-0063
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Fax |
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Provider Business Mailing Address
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Address Line | 5 STRATH HAVEN CT
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City | MONTGOMERY VILLAGE
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State | MD
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Zip | 20886-4064
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Country | US
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Telephone | 240-449-0595
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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