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General NPI Number Information
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NPI Number | 1194133678
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Entity Type | Organization
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Legal Business Name | JULIA STEEN, MA, PLC
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Dates
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Enumeration Date | 07/28/2014
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Last Update Date | 07/28/2014
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Provider Practice Location Address
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Address Line | 228 MAPLE ST
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City | MIDDLEBURY
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State | VT
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Zip | 05753-1606
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Country | US
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Telephone | 802-989-1836
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Fax | 802-419-3650
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Provider Business Mailing Address
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Address Line | 12 CRANE VIEW DR
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City | SALISBURY
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State | VT
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Zip | 05769-9461
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Country | US
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Telephone | 802-989-1836
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Fax | 802-419-3650
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Authorized Official
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Title or Position | LICENSED PSYCHOLOGIST - MASTER
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Name | JULIA STEEN
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Credential | MA
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Telephone | 802-989-1836
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 047.0094717
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License Number State | VT
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