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General NPI Number Information
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NPI Number | 1427299320
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Entity Type | Individual
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Provider Name | JULIE DIANE MERGL LMHC, LPC
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Gender | Female
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Dates
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Enumeration Date | 03/23/2009
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Last Update Date | 02/25/2020
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Provider Practice Location Address
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Address Line | 6100 GREENLAND RD
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City | JACKSONVILLE
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State | FL
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Zip | 32258-2453
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Country | US
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Telephone | 904-466-1253
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Fax |
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Provider Business Mailing Address
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Address Line | 3895 TAR KILN RD
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City | JACKSONVILLE
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State | FL
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Zip | 32223-2097
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Country | US
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Telephone | 904-366-9617
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Fax | 904-886-4071
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LPC5167
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH9311
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License Number State | FL
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