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General NPI Number Information
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NPI Number | 1679090062
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Entity Type | Individual
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Provider Name | JULIENNE VICTORIA SPIRONELLO AGACNP
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Gender | Female
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Dates
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Enumeration Date | 08/25/2017
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 801 OSTRUM ST
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City | BETHLEHEM
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State | PA
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Zip | 18015-1000
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Country | US
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Telephone | 908-310-1454
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Fax |
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Provider Business Mailing Address
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Address Line | 435 MILANO DR
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City | EASTON
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State | PA
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Zip | 18040-7922
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Country | US
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Telephone | 908-310-1454
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | SP017839
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License Number State | PA
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