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General NPI Number Information
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NPI Number | 1518517481
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Entity Type | Individual
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Provider Name | JULIANNE MARIE HUMASON FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 09/12/2019
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Last Update Date | 11/12/2025
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Provider Practice Location Address
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Address Line | 800 FAIRMOUNT AVE STE 323
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City | PASADENA
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State | CA
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Zip | 91105-3155
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Country | US
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Telephone | 213-334-4111
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Fax | 213-335-5001
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Provider Business Mailing Address
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Address Line | 512 WALTER AVE
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City | NEWBURY PARK
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State | CA
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Zip | 91320-5056
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Country | US
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Telephone | 805-338-5645
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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 | 95012444
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License Number State | CA
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