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General NPI Number Information
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NPI Number | 1669563524
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Entity Type | Individual
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Provider Name | JULIA SELF WATKINS FNP
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Gender | Female
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Dates
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Enumeration Date | 09/27/2006
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Last Update Date | 07/11/2023
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Provider Practice Location Address
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Address Line | 4300 OAK PARK RD
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City | SANFORD
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State | NC
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Zip | 27330-9550
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Country | US
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Telephone | 919-566-2072
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Fax | 919-566-6137
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Provider Business Mailing Address
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Address Line | 4300 OAK PARK RD
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City | SANFORD
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State | NC
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Zip | 27330-9550
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Country | US
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Telephone | 919-566-2072
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Fax | 919-566-6137
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 201318
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 201318
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License Number State | NC
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