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General NPI Number Information
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NPI Number | 1659205151
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Entity Type | Individual
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Provider Name | JULIE HOM RN
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Gender | Female
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Dates
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Enumeration Date | 06/10/2026
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Last Update Date | 06/10/2026
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Provider Practice Location Address
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Address Line | 6730 ROOSEVELT AVE STE 301
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City | MIDDLETOWN
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State | OH
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Zip | 45005-5736
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Country | US
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Telephone | 513-928-3339
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Fax |
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Provider Business Mailing Address
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Address Line | 11957 STATE ROUTE 122
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City | CAMDEN
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State | OH
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Zip | 45311-8866
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Country | US
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Telephone | 513-292-2543
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 445292
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License Number State | OH
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