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General NPI Number Information
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NPI Number | 1336030329
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Entity Type | Individual
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Provider Name | JULIA E MCCUBBIN
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Gender | Female
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Dates
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Enumeration Date | 07/09/2025
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 134 WIND CHIME LN
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City | ST AUGUSTINE
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State | FL
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Zip | 32095-0095
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Country | US
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Telephone | 386-972-3700
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Fax | 904-587-1433
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Provider Business Mailing Address
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Address Line | 134 WIND CHIME LN
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City | ST AUGUSTINE
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State | FL
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Zip | 32095-0095
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Country | US
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Telephone | 386-972-3700
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Fax | 904-587-1433
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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