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General NPI Number Information
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NPI Number | 1255971644
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Entity Type | Individual
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Provider Name | JULIA FULLER APRN
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Gender | Female
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Dates
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Enumeration Date | 01/14/2020
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Last Update Date | 03/31/2025
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Provider Practice Location Address
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Address Line | 14430 US HIGHWAY 1 STE 101
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City | SEBASTIAN
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State | FL
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Zip | 32958-3289
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Country | US
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Telephone | 772-597-1644
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Fax |
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Provider Business Mailing Address
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Address Line | 14430 US HIGHWAY 1 STE 101
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City | SEBASTIAN
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State | FL
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Zip | 32958-3289
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Country | US
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Telephone | 772-581-8003
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Fax | 772-581-8005
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11005736
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | APRN11005736
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License Number State | FL
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