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General NPI Number Information
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NPI Number | 1316430523
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Entity Type | Individual
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Provider Name | JULIA VICTORIA BANDE SALVE FNP
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Gender | Female
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Dates
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Enumeration Date | 06/12/2018
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Last Update Date | 04/21/2025
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Provider Practice Location Address
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Address Line | 5197 NW LOWER RIVER RD BLDG 1
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City | VANCOUVER
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State | WA
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Zip | 98660-1013
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Country | US
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Telephone | 360-205-1222
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Fax |
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Provider Business Mailing Address
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Address Line | 16191 SE GOOSEHOLLOW DR
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City | DAMASCUS
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State | OR
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Zip | 97089-7887
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Country | US
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Telephone | 971-259-3515
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 201703445NP-PP
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License Number State | OR
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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 | 201703445NP-PP
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License Number State | OR
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