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General NPI Number Information
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NPI Number | 1629270566
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Entity Type | Individual
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Provider Name | JULIA A TALMADGE LCSW
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Gender | Female
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Dates
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Enumeration Date | 06/04/2007
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Last Update Date | 03/28/2023
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Provider Practice Location Address
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Address Line | 532 HAMPTON DR
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City | NORTH AUGUSTA
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State | SC
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Zip | 29860-9412
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Country | US
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Telephone | 954-559-0230
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Fax |
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Provider Business Mailing Address
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Address Line | 3650 SE 1ST ST
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City | HOMESTEAD
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State | FL
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Zip | 33033-7453
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Country | US
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Telephone | 954-559-0230
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 41606
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 15301
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW2751
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License Number State | FL
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