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General NPI Number Information
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NPI Number | 1669485934
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Entity Type | Individual
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Provider Name | JULIE K HIDEG PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 08/15/2006
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Last Update Date | 06/25/2008
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Provider Practice Location Address
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Address Line | 2204 KENTUCKY AVE PSYCHOLOGICAL ASSOCIATES OF PADUCAH
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City | PADUCAH
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State | KY
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Zip | 42003-3242
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Country | US
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Telephone | 270-442-8785
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Fax | 270-443-1784
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Provider Business Mailing Address
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Address Line | 2204 KENTUCKY AVE PSYCHOLOGICAL ASSOCIATES OF PADUCAH
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City | PADUCAH
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State | KY
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Zip | 42003-3242
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Country | US
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Telephone | 270-442-8785
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Fax | 270-443-1784
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 1317
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License Number State | KY
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