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General NPI Number Information
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NPI Number | 1265348205
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Entity Type | Individual
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Provider Name | JULIA RAE DAILEY
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Gender | Female
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Dates
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Enumeration Date | 08/20/2026
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Last Update Date | 08/20/2026
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Provider Practice Location Address
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Address Line | 560 W 168TH ST
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City | NEW YORK
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State | NY
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Zip | 10032-3917
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Country | US
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Telephone | 212-305-5756
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Fax |
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Provider Business Mailing Address
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Address Line | 150 JAMES ST
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City | KINGSTON
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State | PA
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Zip | 18704-5237
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Country | US
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Telephone | 570-780-0123
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | N12741-01
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License Number State | NY
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