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General NPI Number Information
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NPI Number | 1386047223
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Entity Type | Individual
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Provider Name | JULIANNE MILES TONDREAU FNP
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Gender | Female
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Dates
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Enumeration Date | 10/07/2014
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Last Update Date | 03/20/2023
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Provider Practice Location Address
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Address Line | 112 WALL ST
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City | OXFORD
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State | NC
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Zip | 27565-3255
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Country | US
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Telephone | 919-339-1641
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Fax | 984-464-7709
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Provider Business Mailing Address
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Address Line | 112 WALL ST
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City | OXFORD
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State | NC
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Zip | 27565-3255
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Country | US
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Telephone | 919-339-1641
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Fax | 984-464-7709
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 5007245
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 5007245
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 364SF0001X
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Taxonomy Name | Family Health Clinical Nurse Specialist
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License Number | 5007245
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 5007245
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License Number State | NC
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