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General NPI Number Information
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NPI Number | 1598812646
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Entity Type | Individual
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Provider Name | JULIE KRISTINE WALTRIP DDS
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Gender | Female
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Dates
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Enumeration Date | 01/04/2007
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Last Update Date | 03/01/2021
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Provider Practice Location Address
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Address Line | 9061 W POST RD
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City | LAS VEGAS
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State | NV
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Zip | 89148-2411
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Country | US
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Telephone | 702-434-4800
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Fax | 702-433-4806
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Provider Business Mailing Address
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Address Line | 9121 GHOST MOUNTAIN AVE
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City | LAS VEGAS
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State | NV
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Zip | 89129-3667
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Country | US
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Telephone | 210-215-2502
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Fax | 830-249-9021
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 19475
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 7079
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License Number State | NV
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