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General NPI Number Information
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NPI Number | 1528295425
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Entity Type | Individual
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Provider Name | JULIE ELIZABETH HOLMES SHAW M.A., SLP/CCC
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Gender | Female
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Dates
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Enumeration Date | 06/18/2009
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Last Update Date | 08/08/2025
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Provider Practice Location Address
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Address Line | 8333 SEMINOLE BLVD
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City | SEMINOLE
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State | FL
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Zip | 33772-4376
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Country | US
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Telephone | 727-369-0240
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Fax |
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Provider Business Mailing Address
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Address Line | 8928 OAK ST NE
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City | ST PETERSBURG
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State | FL
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Zip | 33702-3262
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Country | US
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Telephone | 913-424-4330
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SA10429
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License Number State | FL
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