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General NPI Number Information
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NPI Number | 1568018133
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Entity Type | Organization
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Legal Business Name | JULIE MERGL, INC.
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Dates
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Enumeration Date | 08/10/2019
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Last Update Date | 02/27/2020
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Provider Practice Location Address
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Address Line | 6100 GREENLAND RD STE 302
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City | JACKSONVILLE
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State | FL
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Zip | 32258-2626
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Country | US
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Telephone | 904-366-9617
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Fax |
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Provider Business Mailing Address
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Address Line | 3895 TAR KILN RD
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City | JACKSONVILLE
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State | FL
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Zip | 32223-2097
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Country | US
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Telephone | 904-366-9617
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Fax | 904-886-4017
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. JULIE D MERGL
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Credential | LMHC
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Telephone | 904-466-1253
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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