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General NPI Number Information
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NPI Number | 1386195964
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Entity Type | Individual
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Provider Name | JULIE ANDERSON PHILIP DNP, AG-ACNP
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Gender | Female
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Dates
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Enumeration Date | 10/19/2016
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Last Update Date | 07/11/2025
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Provider Practice Location Address
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Address Line | 60 MEMORIAL MEDICAL PKWY
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City | PALM COAST
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State | FL
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Zip | 32164-5980
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Country | US
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Telephone | 386-586-1955
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Fax | 386-586-1959
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Provider Business Mailing Address
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Address Line | 1515 SAVANNAH RD
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City | LEWES
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State | DE
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Zip | 19958-1675
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Country | US
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Telephone | 302-645-3499
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Fax | 302-644-4830
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | LP-0000230
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | AC001904
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | LP-0000230
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License Number State | DE
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Taxonomy #4
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | APRN11030823
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License Number State | FL
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