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General NPI Number Information
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NPI Number | 1306332333
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Entity Type | Individual
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Provider Name | JULIE THORNBURG APRN
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Gender | Female
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Dates
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Enumeration Date | 07/02/2018
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Last Update Date | 10/24/2024
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Provider Practice Location Address
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Address Line | 1037 S STATE ROAD 7 STE 113
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City | WELLINGTON
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State | FL
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Zip | 33414-6139
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Country | US
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Telephone | 561-798-3030
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Fax | 561-798-8242
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Provider Business Mailing Address
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Address Line | 425 W COLONIAL DR STE 303
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City | ORLANDO
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State | FL
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Zip | 32804-6863
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Country | US
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Telephone | 561-798-3030
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Fax | 561-798-8242
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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 | RN9377422
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN11025198
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License Number State | FL
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