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General NPI Number Information
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NPI Number | 1356996557
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Entity Type | Individual
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Provider Name | ANDREA JULIANO
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Gender | Female
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Dates
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Enumeration Date | 08/05/2019
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Last Update Date | 08/10/2024
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Provider Practice Location Address
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Address Line | 2230 ROUTE 70 WEST STE 2 PMD 1260
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City | CHERRY HILL
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State | NJ
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Zip | 08002
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Country | US
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Telephone | 929-949-5290
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Fax |
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Provider Business Mailing Address
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Address Line | 2230 ROUTE 70 WEST STE 2 PMD 1260
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City | CHERRY HILL
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State | NJ
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Zip | 08002
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Country | US
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Telephone |
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PC013586
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 221700000X
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Taxonomy Name | Art Therapist
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License Number | 16LP00028600
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 221700000X
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Taxonomy Name | Art Therapist
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License Number | 002505
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License Number State | NY
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