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General NPI Number Information
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NPI Number | 1235553306
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Entity Type | Individual
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Provider Name | JULIE ILHARDT LPCC, CADC
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Gender | Female
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Dates
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Enumeration Date | 02/10/2014
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Last Update Date | 02/21/2014
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Provider Practice Location Address
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Address Line | 901 US HIGHWAY 68 STE 900
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City | MAYSVILLE
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State | KY
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Zip | 41056-9188
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Country | US
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Telephone | 606-584-7055
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Fax | 866-533-4929
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Provider Business Mailing Address
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Address Line | 901 US HIGHWAY 68 STE 900
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City | MAYSVILLE
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State | KY
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Zip | 41056-9188
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Country | US
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Telephone | 606-584-7055
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Fax | 866-533-4929
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | KY-0138
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | KY0089
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License Number State | KY
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