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NPI 1467317883

NPI 1467317883 : JULIYA FULMAN : BROOKLYN, NY

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General NPI Number Information
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    NPI Number           |    1467317883
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    Entity Type          |    Individual 
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    Provider Name        |    JULIYA FULMAN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/18/2025
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    Last Update Date     |    12/18/2025
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Provider Practice Location Address
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    Address Line         |    2829 OCEAN PKWY 
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    City                 |    BROOKLYN
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    State                |    NY
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    Zip                  |    11235-7869
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    Country              |    US
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    Telephone            |    718-577-7554
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    113 TENNENT RD UNIT 519 
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    City                 |    MORGANVILLE
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    State                |    NJ
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    Zip                  |    07751-6220
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    Country              |    US
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    Telephone            |    718-577-7554
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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        |    363LA2200X
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    Taxonomy Name        |    Adult Health Nurse Practitioner
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    License Number       |    26NJ15453500
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    License Number State |    NJ
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