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General NPI Number Information
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NPI Number | 1376950725
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Entity Type | Individual
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Provider Name | JULI PENMAN M.E.D., LPC
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Gender | Female
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Dates
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Enumeration Date | 07/17/2014
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Last Update Date | 07/17/2014
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Provider Practice Location Address
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Address Line | 1335 FM 1661
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City | SAGERTON
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State | TX
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Zip | 79548-2013
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Country | US
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Telephone | 325-721-3639
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Fax |
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Provider Business Mailing Address
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Address Line | 1335 FM 1661
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City | SAGERTON
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State | TX
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Zip | 79548-2013
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Country | US
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Telephone | 325-721-3639
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 69404
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License Number State | TX
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