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General NPI Number Information
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NPI Number | 1649245051
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Entity Type | Individual
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Provider Name | JULIANNA ELAINE KRILL DPT
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Gender | Female
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Dates
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Enumeration Date | 02/20/2006
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Last Update Date | 11/29/2021
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Provider Practice Location Address
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Address Line | 6600 MERCY CT SUITE 180
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City | FAIR OAKS
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State | CA
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Zip | 95628-3158
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Country | US
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Telephone | 916-962-3662
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Fax |
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Provider Business Mailing Address
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Address Line | 1535 WILD OAK LN
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City | LINCOLN
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State | CA
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Zip | 95648-8236
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Country | US
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Telephone | 916-543-8443
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 30082
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License Number State | CA
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