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General NPI Number Information
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NPI Number | 1548107857
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Entity Type | Individual
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Provider Name | JULIE MARIAN PERKINS
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Gender | Female
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Dates
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Enumeration Date | 05/04/2026
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Last Update Date | 05/04/2026
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Provider Practice Location Address
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Address Line | 805 N ARTHUR AVE
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City | POCATELLO
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State | ID
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Zip | 83204-2803
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Country | US
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Telephone | 208-760-2144
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Fax | 208-269-1486
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Provider Business Mailing Address
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Address Line | 310 ROSE AVE
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City | SODA SPRINGS
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State | ID
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Zip | 83276-1250
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Country | US
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Telephone | 208-272-1679
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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