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General NPI Number Information
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NPI Number | 1679106314
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Entity Type | Individual
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Provider Name | JULIA THOMPSON LMFT
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Gender | Female
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Dates
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Enumeration Date | 02/21/2020
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Last Update Date | 02/21/2020
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Provider Practice Location Address
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Address Line | 160 BETHLEHEM PIKE STE 120
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City | COLMAR
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State | PA
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Zip | 18915-9790
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Country | US
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Telephone | 215-997-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 1225 EAST AVE
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City | ROSLYN
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State | PA
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Zip | 19001-2446
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Country | US
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Telephone |
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MF001137
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License Number State | PA
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