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General NPI Number Information
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NPI Number | 1508246406
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Entity Type | Individual
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Provider Name | JULIE ANN GERMAN CRNP
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Gender | Female
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Dates
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Enumeration Date | 06/04/2015
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Last Update Date | 02/12/2024
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Provider Practice Location Address
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Address Line | 1108 ROSS CLARK CIR
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City | DOTHAN
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State | AL
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Zip | 36301-3022
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Country | US
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Telephone | 334-793-8111
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1928
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City | DOTHAN
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State | AL
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Zip | 36302-1928
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Country | US
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Telephone | 334-793-8111
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1-120651
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN9393982
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License Number State | FL
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