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General NPI Number Information
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NPI Number | 1356018881
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Entity Type | Individual
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Provider Name | JULIA MASON JUBB NP
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Gender | Female
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Dates
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Enumeration Date | 08/24/2021
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 1199 N MEMORIAL DR STE 157
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City | LANCASTER
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State | OH
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Zip | 43130-1749
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Country | US
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Telephone | 740-438-6004
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Fax | 220-216-4006
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Provider Business Mailing Address
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Address Line | 1199 N MEMORIAL DR STE 157
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City | LANCASTER
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State | OH
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Zip | 43130-1749
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Country | US
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Telephone | 740-438-6004
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Fax | 220-216-4006
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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 | 0035214
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | NUR-APRN-LIC-177805
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License Number State | MT
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | NUR-APRN-LIC-177805
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License Number State | MT
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