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General NPI Number Information
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NPI Number | 1598539595
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Entity Type | Individual
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Provider Name | JULIE WRIGLEY ARDMS / RVT
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Gender | Female
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Dates
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Enumeration Date | 11/09/2023
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Last Update Date | 11/09/2023
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Provider Practice Location Address
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Address Line | 800 W BURRELL DR
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City | CROWN POINT
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State | IN
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Zip | 46307-8898
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Country | US
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Telephone | 219-310-8828
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Fax |
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Provider Business Mailing Address
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Address Line | 533 CHARLES CT
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City | CROWN POINT
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State | IN
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Zip | 46307-7865
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Country | US
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Telephone | 219-707-9617
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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 | 2471S1302X
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Taxonomy Name | Sonography Radiologic Technologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2085U0001X
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Taxonomy Name | Diagnostic Ultrasound Physician
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License Number | 106602
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License Number State | IN
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