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General NPI Number Information
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NPI Number | 1447183850
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Entity Type | Individual
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Provider Name | JULIA TROI KUNKO RN
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Gender | Female
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Dates
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Enumeration Date | 06/05/2026
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Last Update Date | 06/05/2026
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Provider Practice Location Address
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Address Line | 3125 NE HOLLADAY ST STE B
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City | PORTLAND
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State | OR
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Zip | 97232-2504
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Country | US
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Telephone | 541-915-9882
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Fax |
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Provider Business Mailing Address
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Address Line | 491 POLK ST
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City | EUGENE
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State | OR
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Zip | 97402-4514
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Country | US
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Telephone | 541-915-9882
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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 | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number | 201242377RN
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License Number State | OR
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