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General NPI Number Information
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NPI Number | 1528702719
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Entity Type | Individual
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Provider Name | JULIAN AVERY ARMSTRONG
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Gender | Male
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Dates
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Enumeration Date | 04/24/2022
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Last Update Date | 04/20/2026
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Provider Practice Location Address
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Address Line | 2021 S WOLF RD APT 415
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City | HILLSIDE
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State | IL
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Zip | 60162-2123
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Country | US
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Telephone | 870-717-4115
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Fax |
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Provider Business Mailing Address
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Address Line | 2021 S WOLF RD APT 415
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City | HILLSIDE
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State | IL
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Zip | 60162-2123
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Country | US
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Telephone | 870-717-4115
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 231677
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 1074632
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 0024196657
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License Number State | VA
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