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General NPI Number Information
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NPI Number | 1235948589
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Entity Type | Individual
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Provider Name | JULIE MARIE MULLENEX HIS
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Gender | Female
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Dates
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Enumeration Date | 01/02/2025
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Last Update Date | 01/16/2026
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Provider Practice Location Address
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Address Line | 100 ARBOR DR STE 111
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City | CHRISTIANSBURG
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State | VA
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Zip | 24073-6585
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Country | US
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Telephone | 540-381-4327
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Fax |
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Provider Business Mailing Address
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Address Line | 3111 COLLINGWOOD ST NE
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City | ROANOKE
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State | VA
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Zip | 24012-3721
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Country | US
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Telephone | 856-745-5537
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 2101002808
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License Number State | VA
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