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General NPI Number Information
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NPI Number | 1538362710
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Entity Type | Individual
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Provider Name | JULIE M WHITMAN PT,DSC,OCS,FAAOMPT
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Gender | Female
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Dates
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Enumeration Date | 06/06/2007
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Last Update Date | 03/18/2015
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Provider Practice Location Address
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Address Line | 5814 LONETREE BLVD STE 100
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City | ROCKLIN
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State | CA
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Zip | 95765-3785
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Country | US
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Telephone | 916-206-3612
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Fax |
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Provider Business Mailing Address
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Address Line | 125 WATERLILY CT
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City | ROSEVILLE
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State | CA
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Zip | 95747-8869
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Country | US
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Telephone | 916-872-5193
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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 | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 36190
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License Number State | CA
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