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General NPI Number Information
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NPI Number | 1497027569
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Entity Type | Individual
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Provider Name | JULIA ANNE MENARD FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 02/03/2012
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Last Update Date | 06/20/2024
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Provider Practice Location Address
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Address Line | 17055 RUBEN LN
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City | SANDY
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State | OR
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Zip | 97055-9276
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Country | US
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Telephone | 503-668-8002
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Fax | 503-668-5246
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Provider Business Mailing Address
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Address Line | 17055 RUBEN LN
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City | SANDY
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State | OR
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Zip | 97055-9276
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Country | US
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Telephone | 503-668-8002
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 728662
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 728662
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 728662
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 66968
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License Number State | ID
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 202112819NP-PP
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License Number State | OR
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