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General NPI Number Information
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NPI Number | 1669292678
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Entity Type | Individual
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Provider Name | JULIA POCH CF, SLP
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Gender | Female
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Dates
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Enumeration Date | 10/14/2024
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Last Update Date | 10/14/2024
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Provider Practice Location Address
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Address Line | 22391 FLORA PARKE XING UNIT A
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City | FERNANDINA BEACH
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State | FL
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Zip | 32034-8005
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Country | US
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Telephone | 904-321-9054
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Fax | 855-565-1769
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Provider Business Mailing Address
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Address Line | 96232 RIDGEWOOD CIR
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City | FERNANDINA BEACH
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State | FL
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Zip | 32034-8160
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Country | US
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Telephone | 678-761-2863
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Fax | 855-565-1769
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SZ12368
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License Number State | FL
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