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General NPI Number Information
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NPI Number | 1619206588
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Entity Type | Individual
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Provider Name | JULI A BARDSLEY LPC
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Gender | Female
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Dates
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Enumeration Date | 12/23/2009
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Last Update Date | 12/23/2009
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Provider Practice Location Address
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Address Line | 501 N 16TH ST SUITE 108
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City | PAYETTE
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State | ID
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Zip | 83661-2781
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Country | US
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Telephone | 208-642-2600
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Fax | 208-642-6164
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Provider Business Mailing Address
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Address Line | 3655 S JOHNS AVE
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City | EMMETT
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State | ID
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Zip | 83617-9009
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Country | US
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Telephone | 208-365-1637
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State | ID
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