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General NPI Number Information
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NPI Number | 1225067333
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Entity Type | Individual
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Provider Name | JULIA B HORNBECK MS, RD
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Gender | Female
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Dates
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Enumeration Date | 07/01/2006
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Last Update Date | 07/02/2024
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Provider Practice Location Address
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Address Line | 814 DAKOTA LN
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City | ERIE
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State | CO
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Zip | 80516-6557
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Country | US
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Telephone | 917-297-6236
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Fax |
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Provider Business Mailing Address
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Address Line | 814 DAKOTA LN
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City | ERIE
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State | CO
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Zip | 80516-6557
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Country | US
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Telephone | 917-297-6236
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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 | 133VN1005X
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Taxonomy Name | Renal Nutrition Registered Dietitian
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License Number | 916256
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License Number State | CA
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