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General NPI Number Information
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NPI Number | 1275274086
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Entity Type | Individual
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Provider Name | JULIET AURA
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Gender | Female
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Dates
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Enumeration Date | 04/05/2022
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Last Update Date | 04/05/2022
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Provider Practice Location Address
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Address Line | 2900 W BROADWAY STE 320
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City | LOUISVILLE
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State | KY
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Zip | 40211-1280
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Country | US
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Telephone | 502-852-3888
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Fax |
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Provider Business Mailing Address
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Address Line | 2139 LEXINGTON RD UNIT 109
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City | LOUISVILLE
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State | KY
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Zip | 40206-2973
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Country | US
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Telephone | 936-553-8592
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number |
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License Number State | KY
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