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General NPI Number Information
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NPI Number | 1568673549
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Entity Type | Organization
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Legal Business Name | JULIE HEUSER ARNP PLLC
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 02/01/2010
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Provider Practice Location Address
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Address Line | 2113 STATE ST STE. 2
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City | NEW ALBANY
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State | IN
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Zip | 47150-4961
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Country | US
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Telephone | 812-941-9300
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Fax |
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Provider Business Mailing Address
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Address Line | 14008 HARBOUR PL
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City | PROSPECT
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State | KY
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Zip | 40059-8006
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Country | US
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Telephone | 502-614-6358
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Fax |
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Authorized Official
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Title or Position | PRESIDENT. SOLE PROPRIETOR
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Name | MRS. JULIE LEWIS HEUSER
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Credential | ARNP
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Telephone | 502-228-1142
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 3324P
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License Number State | KY
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