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General NPI Number Information
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NPI Number | 1447599709
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Entity Type | Individual
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Provider Name | JULIA BLAIR VOYLES ATC,MS,LAT,CES
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Gender | Female
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Dates
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Enumeration Date | 02/06/2013
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Last Update Date | 02/06/2013
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Provider Practice Location Address
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Address Line | 5959 BROADWAY
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City | MERRILLVILLE
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State | IN
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Zip | 46410-2617
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Country | US
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Telephone | 219-887-5281
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Fax |
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Provider Business Mailing Address
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Address Line | 301 BROWN ST A
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City | VALPARAISO
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State | IN
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Zip | 46383-5586
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Country | US
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Telephone |
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 36001576A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 096.002768
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License Number State | IL
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