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General NPI Number Information
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NPI Number | 1457293821
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Entity Type | Individual
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Provider Name | JULIANNE AGNES TACAL RN
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Gender | Female
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Dates
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Enumeration Date | 04/07/2026
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Last Update Date | 04/07/2026
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Provider Practice Location Address
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Address Line | 19 W 34TH ST RM 806
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City | NEW YORK
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State | NY
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Zip | 10001-3080
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Country | US
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Telephone | 212-271-1037
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Fax |
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Provider Business Mailing Address
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Address Line | 7942 ORCHID DR
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City | BUENA PARK
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State | CA
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Zip | 90620-1930
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Country | US
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Telephone | 714-606-4657
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 95416971
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License Number State | CA
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