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General NPI Number Information
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NPI Number | 1205127891
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Entity Type | Individual
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Provider Name | JULIE WESLING LMT
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Gender | Female
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Dates
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Enumeration Date | 04/29/2011
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Last Update Date | 04/29/2011
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Provider Practice Location Address
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Address Line | 3840 BELFORT RD., SUITE 305
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City | JACKSONVILLE
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State | FL
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Zip | 33216
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Country | US
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Telephone | 904-377-6696
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Fax |
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Provider Business Mailing Address
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Address Line | 1021 OAK ARBOR CIRCLE
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City | SAINT AUGUSTINE
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State | FL
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Zip | 32084
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Country | US
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Telephone | 904-377-6696
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MA56383
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License Number State | FL
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