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General NPI Number Information
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NPI Number | 1235495383
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Entity Type | Individual
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Provider Name | JULIE ELLMAN C.P.N.P.
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Gender | Female
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Dates
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Enumeration Date | 04/03/2012
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Last Update Date | 06/25/2015
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Provider Practice Location Address
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Address Line | 8190 E 1ST AVE STE 100
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City | DENVER
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State | CO
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Zip | 80230-7211
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Country | US
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Telephone | 847-702-1634
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Fax |
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Provider Business Mailing Address
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Address Line | 8190 E 1ST AVE STE 100
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City | DENVER
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State | CO
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Zip | 80230-7211
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Country | US
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Telephone | 847-702-1634
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 209009390
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License Number State | IL
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