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General NPI Number Information
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NPI Number | 1275599599
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Entity Type | Individual
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Provider Name | LORRI A JULIAN-TROTTER FNP
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Gender | Female
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Dates
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Enumeration Date | 04/25/2006
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Last Update Date | 07/11/2024
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Provider Practice Location Address
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Address Line | 10763 HWY 39 STE. 200
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City | MT. VERNON
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State | MO
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Zip | 65712-7823
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Country | US
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Telephone | 417-269-2460
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Fax | 416-269-2462
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Provider Business Mailing Address
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Address Line | PO BOX 505673
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City | SAINT LOUIS
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State | MO
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Zip | 63150-5673
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Country | US
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Telephone | 417-730-6430
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Fax | 417-269-7567
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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 | 128702
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License Number State | MO
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