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General NPI Number Information
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NPI Number | 1649939240
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Entity Type | Individual
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Provider Name | JULIA EILEEN DYREYES CRNP
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Gender | Female
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Dates
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Enumeration Date | 12/10/2021
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Last Update Date | 10/23/2023
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Provider Practice Location Address
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Address Line | 1251 E MAIN ST STE 1AND2
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City | ANNVILLE
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State | PA
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Zip | 17003-1643
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Country | US
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Telephone | 717-867-4671
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Fax |
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Provider Business Mailing Address
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Address Line | 718 MAPLE ST
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City | ANNVILLE
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State | PA
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Zip | 17003-1524
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Country | US
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Telephone | 609-744-7832
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | SPO23917
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License Number State | PA
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